Importance of Computed Tomography Angiography for Planning Free Tissue Reconstruction in the Presence of Aberrant Vessel Anatomy. Issue 1 (8th June 2018)

• Record Type: Journal Article
• Authors: Troisi, Luigi; Berner, Juan Enrique; Gujral, Sameer; Khan, Umraz
• Is Part Of: International journal of orthoplastic surgery. Volume 1:Issue 1(2018)
• Page Start: 10
• Page End: 12
• Publication Date: 2018-06-08
• Subjects: microsurgery -- lower limb -- free flap -- Computer tomography angiography -- case report; Surgery, Plastic -- Periodicals; Orthopedic surgery -- Periodicals; Wound healing -- Periodicals; 617.952
• DOI: 10.29337/ijops.5
• Languages: English
• ISSNs: 2515-7566

Abstract

Computer tomography angiography (CTA) is a crucial pre-operative investigation for planning complex lower limb reconstructions. It allows visualization of the vessel anatomy in order to detect any vascular injuries or anomalies, avoiding surprises during the procedure itself. This report presents the case of a patient admitted with an acute open ankle fracture. Her CTA showed an aberrant artery, which then was used by the surgical team as a recipient for the free soft tissue transfer required to reconstruct the area. The authors believe that CTA should be routinely undertaken for every patient with a complex lower limb injury.