J Korean Orthop Assoc.  2015 Oct;50(5):418-423. 10.4055/jkoa.2015.50.5.418.

Delayed Onset of the Popliteal Artery Pseudoaneurysm Following Medial Opening Wedge High Tibial Osteotomy

• Lim HS
• Kim SM
• Kim CK

• KMID: 2185106
• DOI: http://doi.org/10.4055/jkoa.2015.50.5.418

Abstract

High tibial osteotomy is an established method in treatment of medial knee osteoarthritis with varus deformity in younger patients. The popliteal artery is vulnerable to injury during surgeries performed around the knee joint. Pseudoaneurysm of the popliteal artery following medial opening wedge high tibial osteotomy is rare. A femoral angiogram revealed a pseudoaneurysm arising from the popliteal artery near the osteotomy site. Careful placement of retractors around the osteotomy site during sawing and flexing the knee to displace the popliteal artery away are recommended to prevent this complication. We report on the case of a pseudoaneurysm of the popliteal artery complicating medial opening wedge high tibial osteotomy that was treated clinically and radio-graphically with literature reviews.

Keyword

popliteal artery; pseudoaneurysm; genu varum; angiography; osteotomy

MeSH Terms

Aneurysm, False*
Angiography
Congenital Abnormalities
Genu Varum
Humans
Knee
Knee Joint
Osteoarthritis, Knee
Osteotomy*
Popliteal Artery*