The Changed Route of Anterior Tibial Artery due to Healed Fr
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Introduction
In the distal third tibial fractures, the surgeon has multiple options: conservative treatment, intramedullary nailing, open reduction and plate and screw fixation, and minimally invasive plate osteosynthesis (MIPO) technique .

In this report we would like to highlight unusual sequelae of healed distal third diaphyseal tibia fracture that was treated conservatively 36 years ago, in which we incidentally detected peripheral CT angiography.

Case
A 67-year-old heavy smoker male patient with a history of atherosclerotic heart disease, hypertension, Type II DM, and hyperlipidemia came to our cardiology department and was treated with the following drug regimen: Insulin (25?IU/sec), Metformin (1?gr ? 2/day), Glimepiride (4?mg/day), Nitrates (50?mg/day), Irbesartan (300?mg/day), and Simvastatin (40?mg/day).

The patient was referred to our cardiologist for intermittent claudication. Following routine tests, the cardiologist decided to perform a peripheral CT angiography. The CT revealed an occlusion on right superficial femoral artery (right iliopopliteal bypass surgery was scheduled for following week).

During our radiologist's CT angiogram assessment, he noticed an unusual course of left tibia anterior artery. The anterior tibial artery was enveloped three-quarterly by the healing callus of the bone (distal tibia)....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4785250/
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