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CASE REPORT
Year : 2007  |  Volume : 10  |  Issue : 4  |  Page : 352-354

Iatrogenic arterial injury and foot gangrene. A case report


Department of Orthopaedics & Traumatology, College of Health Sciences, Olabisi Onabanjo University, Sagamu, Ogun State, Nigeria

Correspondence Address:
L O Thanni
Department of Orthopaedics & Traumatology, College of Health Sciences, Olabisi Onabanjo University, Sagamu, Ogun State, Nigeria

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Source of Support: None, Conflict of Interest: None


PMID: 18293650

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BACKGROUND: Elective orthopaedic operations on the knee is rarely complicated by arterial injury. REPORT: A case report is presented of a 10 year old girl that developed gangrene of the foot following an elective orthopaedic operation on the proximal tibial metaphysis. A transfixion wire that breached the posterior tibial cortex was most probably responsible for popliteal artery injury that resulted in ischaemia and gangrene. The patient had an amputation of all the toes in the affected limb and recovered satisfactory limb function. CONCLUSION: In operations on the proximal tibial metaphysis, implants (screws, pins, wires) should not be allowed to perforate the posterior cortex. When this occurs inadvertently, they should be readjusted as soon as radiographs confirm this, to avoid injury to the popliteal artery.


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