Department of Orthopaedic Surgery, Teikyo University Mizonokuchi Hospital, Takatsu-ku, Kawasaki, Kanagawa, Japan.
Department of Radiology, Teikyo University Mizonokuchi Hospital, Takatsu-ku, Kawasaki, Kanagawa, Japan.
JBJS Case Connect. 2022 Aug 17;12(3). doi: e22.00206. eCollection 2022 Jul 1.
Pseudoaneurysms of the peroneal artery around the ankle joint have rarely been reported. We present the case of a 64-year-old man with a pseudoaneurysm of the anterior perforating branch of the peroneal artery associated with a screw inserted from the anterolateral distal tibia during ankle arthrodesis. Endovascular treatment with selective catheterization and coil embolization was successfully performed. The ankle joint achieved bone union without delay, and the pseudoaneurysm did not recur at the 18-month follow-up.
This is the first report describing a pseudoaneurysm of the peroneal artery after ankle arthrodesis. Successful outcomes can be achieved by endovascular treatment.
踝关节周围的腓动脉假性动脉瘤很少有报道。我们报告了一例 64 岁男性患者,他在踝关节融合术时从前外侧胫骨远端插入的螺钉处出现了腓动脉前穿支假性动脉瘤。采用选择性导管插入和线圈栓塞的血管内治疗成功进行。踝关节及时实现了骨性愈合,假性动脉瘤在 18 个月的随访中也没有复发。
这是首例描述踝关节融合术后腓动脉假性动脉瘤的报告。血管内治疗可获得满意的效果。