{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T09:00:50Z","timestamp":1776848450312,"version":"3.51.2"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:00:00Z","timestamp":1715644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Knee malalignment can increase the risk of osteoarthritis. Osteotomies can correct limb deformities, but they come with the risk of complications such as cortical hinge fracture, hardware failure, pain syndrome, and infection. Vascular injury is rare, but it can lead to bleeding, limb ischemia, and swelling. If revascularization is delayed for over 12 h, it can result in poor outcomes. The work has been reported in line with the SCARE criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 41-year-old female underwent a lateral close-wedge distal femoral osteotomy. Postoperatively, no distal pulse was detected. An emergency vascular surgery consultation revealed popliteal vein penetration and popliteal artery thrombosis, probably during pin penetration. Revascularization was performed, and the patient was discharged without complications. At the three-year follow-up, the patient was in good health and without complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Knowledge of the femoral artery and vein's proximity to the apex of the wedge is crucial in lateral close wedge distal femoral osteotomy. Despite vascular injury with an oscillating saw, it can happen during guide pin insertion. Although Intraoperative massive bleeding can show vascular injury, lack of it was not a protective factor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>During the process of pin insertion, it is important to ensure that the pin's orientation is directly lateral to the medial. This should be checked using the C-Arm by obtaining AP, Lat, and Oblique views. To check for intraoperative bleeding, the tourniquet should be deflated. Once the procedure is complete, it is important to check for any vascular injury by examining distal pulses and limb perfusion carefully, particularly in the recovery room.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109763","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T20:32:12Z","timestamp":1716409932000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Vascular injury during lateral close-wedge distal femoral osteotomy: A case report and review of surgical principles"],"prefix":"10.1097","volume":"119","author":[{"given":"Mohammad Ayati","family":"Firoozabadi","sequence":"first","affiliation":[{"name":"Associated Professor of Orthopedic Surgery, Knee Surgeon, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hesan","family":"Rezaee","sequence":"additional","affiliation":[{"name":"Orthopedic Resident, Department of Orthopedics, Imam Khomein Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pouya Tabatabaei","family":"Irani","sequence":"additional","affiliation":[{"name":"Orthopedic Surgeon, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davood Dehghani","family":"Ashkezari","sequence":"additional","affiliation":[{"name":"Orthopedic Surgeon, Fellowship of Knee Surgery, Orthopedics Departement, Imam Khomein Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed Mohammad Javad","family":"Mortazavi","sequence":"additional","affiliation":[{"name":"Joint Reconstruction Research Center (JRRC), Tehran University of Medical Sciences, End of Keshavarz Blvd, 1419733141, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"3","key":"R1-99-20260422","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1007\/s11999-014-4007-x","article-title":"Injury risk to extraosseous knee vasculature during osteotomies: a cadaveric study with CT and dissection analysis","volume":"473","author":"Bisicchia","year":"2015","journal-title":"Clin. Orthop. Relat. Res."},{"issue":"7","key":"R2-99-20260422","doi-asserted-by":"crossref","DOI":"10.1016\/j.otsr.2021.102989","article-title":"Lateral femoral closing wedge osteotomy in genu varum","volume":"107","author":"Ollivier","year":"2021","journal-title":"Orthop. Traumatol. Surg. Res."},{"issue":"4","key":"R3-99-20260422","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1007\/s12178-014-9233-z","article-title":"Distal femoral osteotomy","volume":"7","author":"Rosso","year":"2014","journal-title":"Curr. Rev. Musculoskelet. Med."},{"issue":"2","key":"R4-99-20260422","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1097\/JSA.0b013e3182900720","article-title":"Complications of osteotomies about the knee","volume":"21","author":"Vena","year":"2013","journal-title":"Sports Med. Arthrosc. Rev."},{"issue":"2","key":"R5-99-20260422","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1302\/0301-620X.97B2.34353","article-title":"Iatrogenic popliteal artery injury in non arthroplasty knee surgery","volume":"97","author":"Bernhoff","year":"2015","journal-title":"Bone Joint J."},{"issue":"5","key":"R6-99-20260422","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi","year":"2023","journal-title":"Int. J. Surg. Lond. Engl."},{"issue":"4","key":"R7-99-20260422","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.jor.2014.08.002","article-title":"Complete rupture of the popliteal artery complicating high tibial osteotomy","volume":"11","author":"Attinger","year":"2014","journal-title":"J. Orthop."},{"issue":"4","key":"R8-99-20260422","doi-asserted-by":"crossref","first-page":"364","DOI":"10.5792\/ksrr.18.039","article-title":"Pseudoaneurysm formation due to popliteal artery injury caused by drilling during medial opening wedge high tibial osteotomy","volume":"30","author":"Chun","year":"2018","journal-title":"Knee Surg. Relat. Res."},{"issue":"2","key":"R9-99-20260422","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/j.knee.2015.09.018","article-title":"Complications associated with opening wedge high tibial osteotomy\u2014a review of the literature and of 15 years of experience","volume":"23","author":"Woodacre","year":"2016","journal-title":"Knee"},{"key":"R10-99-20260422","article-title":"Perioperative complications in osteotomies around the knee: a study in 858 cases","volume":"1-7","author":"Ferner","year":"2021","journal-title":"Arch. Orthop. Trauma Surg."},{"issue":"3","key":"R11-99-20260422","article-title":"A popliteal vascular injury during distal femoral osteotomy: an unusual case report","volume":"1","author":"Nejima","year":"2022","journal-title":"J. Orthopaed. Rep."},{"issue":"10","key":"R12-99-20260422","first-page":"1102","article-title":"Location of the neurovascular bundle of the knee during flexed and extended position: an MRI study","volume":"99","author":"Keyurapan","year":"2016","journal-title":"J. Med. Assoc. Thai."},{"issue":"1","key":"R14-99-20260422","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00167-012-2206-0","article-title":"Osteotomy around the knee: evolution, principles and results","volume":"21","author":"Smith","year":"2013","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224005443?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224005443?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.109763","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T08:04:37Z","timestamp":1776845077000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.109763"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":13,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.109763","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,6]]},"assertion":[{"value":"2024-04-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}