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.
Published In/Presented At
Brigido, S. A., Bleazey, S. T., Oskin, T. C., & Protzman, N. M. (2013). 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, 52(5), 655–658. https://doi.org/10.1053/j.jfas.2013.03.020
Medicine and Health Sciences
Department of Surgery