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KMID : 0361620100450030238
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Journal of the Korean Orthopaedic Association
2010 Volume.45 No. 3 p.238 ~ p.242
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Therapeutic Embolization for Pseudoaneurysm of the Anterior Tibial Artery after Tibial Nailing
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Cho Se-Hyun
Kim Dong-Hee
Jeong Soon-Taek
Park Hyung-Bin
Hwang Sun-Chul
Shin Tae-Bum
Shin Hyuck-Soo
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Abstract
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Closed intramedullary nailing is a favorite surgical technique for tibial shaft fracture. After closed interlocking intramedullary nailing, proximal and distal locking screws are inserted for increasing rotational force and axial stability. Vascular complications associated with tibial nailing for fractures are very rare. Here, we described a case of a pseudoaneurysm of the anterior tibial artery after tibial nailing. We opted for minimally invasive treatment consisiting of thrombin injection and vascular plug insertion. Because pseudoaneurysm of the anterior tibial artery can induce severe complications, one should, when performing closed intramedullary nailing, make a quick diagnosis and start treatment right away.
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KEYWORD
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tibial fracture, pseudoaneurysm, interlocking intramedullary nailing, embolization
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