Pseudoaneurysm of the Posterior Tibial Artery after Manipulation under Anesthesia of a Total Ankle Replacement.

Although pseudoaneurysm of the posterior tibial artery has been reported, no investigators have discussed the development of a pseudoaneurysm after manipulation under anesthesia of a total ankle replacement. We present the case of a 59-year-old female with end-stage post-traumatic tibiotalar joint disease who underwent an uneventful INBONE® Total Ankle Replacement. She experienced continued postoperative pain and impingement after physical therapy. Consequently, she underwent manipulation under anesthesia. The manipulation provided complete and immediate pain relief. However, she developed a pseudoaneurysm of the posterior tibial artery that required vascular repair. She recovered uneventfully and was ambulating free of pain with improved functionality. Although manipulation under anesthesia of a total ankle replacement is a valuable, noninvasive tool that can provide near-immediate pain relief, it is important to realize that this distal arterial injury, although uncommon, is a possibility. Copyright © 2013 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Citation

Stephen A Brigido, Scott T Bleazey, Timothy C Oskin, Nicole M Protzman. Pseudoaneurysm of the Posterior Tibial Artery after Manipulation under Anesthesia of a Total Ankle Replacement. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. 2013 Sep-Oct;52(5):655-8

PMID: 23628195

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