Pseudoaneurysm after Proximal Metatarsal Osteotomy for Hallux Valgus Correction: A Case Report

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ÀÌ°æÅÂ(Lee Kyung-Tai) - KT Lee¡¯s Orthopedic Hospital
¹Ú¿µ¿í(Park Young-Uk) - Ajou University School of Medicine Ajou University Hospital Department of Orthopedic Surgery
Àç°¥Çõ(Jegal Hyuk) - KT Lee¡¯s Orthopedic Hospital
(Roh Young-Tae) - KT Lee¡¯s Orthopedic Hospital
(Hong Kee-Yong) - Ajou University School of Medicine Ajou University Hospital Department of Orthopedic Surgery

Abstract

Occurrence of pseudoaneurysm in the foot and ankle is rare, and is usually caused by traumatic injury or by iatrogenic intervention. Iatrogenic pseudoaneurysms in the foot and ankle have been observed after rearfoot and ankle fusions, ankle arthroscopy, endoscopic and open plantar fasciotomy, tibial osteotomy with limb lengthening, midfoot amputation, and Lapidus procedure. We report on a patient who developed a pseudoaneurysm of the dorsal metatarsal artery following correction of hallux valgus. The patient underwent proximal chevron osteotomy and Akin phalangeal osteotomy. The feeding artery was ligated and the pseudoaneurysm was excised.

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Hallux valgus, Corrective osteotomy, Pseudoaneurysm
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There was no evidence of any arterial insufficiency of the foot and the patient remained free of symptoms.
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