Department of Orthopedic Surgery, Frere Hospital, J Rademan, South Africa
BMJ Case Rep. 2022 Mar 24;15(3):e232847. doi: 10.1136/bcr-2019-232847.
Congenital talipes equinovarus (CTEV), or clubfoot, is the the most common encountered musculoskeletal defect encountered at birth. Most cases present as an isolated deformity, with up to half of them presenting with bilateral deformity. CTEV have also been reported to present as part of syndromic phenomena. Dr Igancio Ponseti proposed a serial casting programme to correct the foot's cavus, forefoot adduction, varus and equinus. Up to 90% of infants will require a tendo-achilles (TA) tenotomy for the persisting equinus deformity. TA tenotomy is deemed a relatively safe procedure, with the most authors citing bleeding as the most common complication. The Achilles tendon finds itself surrounded by rich network of blood vessels and nerves. We present a case of a ruptured pseudoaneurysm from the posterior tibial artery after percutaneous TA tenotomy was performed. This is a very rare complication and to our knowledge, only one other posterior tibial artery pseudoaneurysm has been reported.
先天性马蹄内翻足（CTEV），又称马蹄足，是出生时最常见的肌肉骨骼畸形。大多数病例表现为孤立性畸形，多达一半的病例表现为双侧畸形。CTEV 也有报道为综合征表现的一部分。Igancio Ponseti 医生提出了一系列的石膏矫正方案来矫正足部的内翻、前足内收、内翻和马蹄足。高达 90%的婴儿需要进行跟腱（TA）切断术来矫正持续存在的马蹄足畸形。TA 切断术被认为是一种相对安全的手术，大多数作者指出出血是最常见的并发症。跟腱周围有丰富的血管和神经网络。我们报告了一例经皮 TA 切断术后胫后动脉假性动脉瘤破裂的病例。这是一种非常罕见的并发症，据我们所知，只有另一例胫后动脉假性动脉瘤的报道。
