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Traumatic Blue Toe Syndrome with Tibial Plateau Fracture: A Rare Case of Foot Ischemia and Toes Gangrene in Spite of Patent Arterial Injury

Author(s): Mehdinasab Seyed Abdolhossein* Alamshah, Seyed Mansour**

Journal: Journal of Orthopaedics
ISSN 0972-978X

Volume: 4;
Issue: 4;
Date: 2007;
Original page

Keywords: Tibial plateau fracture | popliteal artery | foot gangrene | blue toe Syndrome

Tibial plateau fractures involve the articular surface and condylar portion of the proximal tibia. These fractures occur as a result of severe trauma on the knee joint; therefore, the associated soft tissue injuries are frequently seen with these fractures in popliteal fossa. Neuro-vascular injury is one of the complicated damages that contain popliteal artery thrombosis in the form of direct intimal injury or arterial disruption. Possible plantar arc thrombosis as an embolic complication of popliteal artey intimal flap in the form of “traumatic blue toe syndrome” is a rare concomitant clinical entity with this fracture which has not been reported in our experience. This is a report of a minimal displaced fracture of the tibial plateau in a young patient who was admitted for driving injuries with cyanosis of four toes and severe plantar pain due to ischemic foot. He had normal symmetrical pedal pulses, but developed gangrene of toes leads to distal foot amputation.
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