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Anterior Tibial to Dorsalis Pedis Bypass to Manage Acute Ischemia Attributed to Pilon Fracture by Efstratios Georgakarakos; Nikolaos Papatheodorou; Anthimos Keskinis; Georgios I Karaolanis; Paraskevas Georgoulas is a Medicine article available to read on EtoBox.
What is Anterior Tibial to Dorsalis Pedis Bypass to Manage Acute Ischemia Attributed to Pilon Fracture about?
Pilon fractures of the distal tibia are usually the result of a high-energy trauma and can affect seriously the arterial vasculature carrying an increased risk of amputation at the malleolar level or higher. Such cases represent a challenge for the orthopedic surgeons and a multidisciplinary approach is mandatory in order to salvage the threatened limb. We present an unusual case of a closed pilon fracture with injury of all tibial vessels leading to acute limb threatening ischemia. The patient was treated successfully with external fixation and a short tibial-pedal bypass with use of an autologous reversed saphenous vein graft. This example dictates how a distal leg fracture can be dramatic and that awareness of vascular examination coupled with high suspicion of vascular damage can be limb-saving. Multidisciplinary approach is warranted since the topology and complexity of the ankle lesions necessitate staged orthopedic reconstructions with tibio-distal bypass and appropriate skin coverage of the distal anastomosis.
Who reads Anterior Tibial to Dorsalis Pedis Bypass to Manage Acute Ischemia Attributed to Pilon Fracture?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Efstratios Georgakarakos; Nikolaos Papatheodorou; Anthimos Keskinis; Georgios I Karaolanis; Paraskevas Georgoulas
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)