Vascular complications of osteotomies in limb reconstruction

J Bone Joint Surg Br. 1999 Sep;81(5):890-2. doi: 10.1302/0301-620x.81b5.9164.

Abstract

Osteotomies are commonly carried out in orthopaedic surgery, particularly in limb reconstruction. Complications are uncommon provided that sufficient care is taken and a sound technique used. We describe three cases of formation of false aneurysm after osteotomy, with acute, delayed and asymptomatic onset. The diagnosis was supported by ultrasound investigation, and confirmed by angiography. Embolisation with coils was a successful method of treatment. We recommend a safe method of osteotomy with good bone exposure and adequate soft-tissue protection.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aneurysm, False / etiology*
  • Aneurysm, False / therapy
  • Angiography
  • Embolization, Therapeutic / methods
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / injuries*
  • Humans
  • Male
  • Middle Aged
  • Osteotomy / adverse effects*
  • Tibial Arteries / diagnostic imaging
  • Tibial Arteries / injuries*