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J Bone Joint Surg Br. 2011 Oct;93(10):1424-6. doi: 10.1302/0301-620X.93B10.27352.

Arteriovenous fistula formation after a closed proximal tibial fracture in a child.

Author information

1
Children's Hospital Boston, Boston, Massachusetts, USA. radelaney@partners.org

Abstract

Arteriovenous fistula formation after a closed extremity fracture is rare. We present the case of an 11-year-old boy who developed an arteriovenous fistula between the anterior tibial artery and popliteal vein after closed fractures of the proximal tibia and fibula. The fractures were treated by closed reduction and casting. A fistula was diagnosed 12 weeks after the injury. It was treated by embolisation with coils. Subsequent angiography and ultrasonography confirmed patency of the popliteal vein and anterior and posterior tibial and peroneal arteries, with no residual shunting through the fistula. The fractures healed uneventfully and he returned to full unrestricted activities 21 weeks after his injury.

PMID:
21969446
DOI:
10.1302/0301-620X.93B10.27352
[Indexed for MEDLINE]
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