J Korean Foot Ankle Soc.  2024 Dec;28(4):169-172. 10.14193/jkfas.2024.28.4.169.

Deep Vein Thrombosis after Surgery for a Lateral Malleolar Avulsion Fracture with Associated Ligament Injury: A Case Report

• Jin JW
• Shin SJ
• Kim CK

• KMID: 2562455
• DOI: http://doi.org/10.14193/jkfas.2024.28.4.169

Abstract

In the field of orthopedics, deep vein thrombosis (DVT) is a rare but serious condition that can be life-threatening once it occurs. DVT is most commonly reported after hip and knee arthroplasty or multiple traumas, but rarely cases in the foot and ankle regions have been encountered. This paper reports a case of DVT that occurred after ankle ligament repair surgery with a review of relevant literature.

Keyword

Ankle; Deep vein thrombosis

Figure

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  Figure 1 Simple radiographs of the left ankle show an avulsion fracture of the lateral malleolus (arrow).

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  Figure 2 Magnetic resonance imaging of the left ankle. T1- and T2-weighted image show anterior talofibular ligament tear with an avulsion fracture of the lateral malleolus (arrow) in the left ankle.

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  Figure 3 Postoperative radiographs of the left ankle show good reduction of the avulsed fracture fragment.

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  Figure 4 Venous phase in computed tomography angiography shows deep vein thrombosis (arrows) in left common iliac vein (A), femoral vein (B), and popliteal vein (C).

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  Figure 5 Diagnostic venograms show complete occlusion of left common iliac vein (arrow) (A). After thrombus removal, excellent inflow was seen (B) and an IVC filter was placed (C). IVC, inferior vena cava.

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  Figure 6 The most recent follow-up radiographs of the left ankle show complete union.

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