Tarsal Tunnel Laceration: A Comprehensive Limb Salvage Surgical Procedure

Mark Mendeszoon and Elizabeth Sanders

Department of Foot and Ankle Orthopedic Surgery, Precision Orthopaedic Specialties, USA

^*Correspondance to: Mark Mendeszoon 

 PDF  Full Text DOI: 10.25107/2474-1647.1956

Abstract

Vascular injuries in orthopedic trauma can be limb or life threatening. Prompt recognition and early surgical intervention is imperative. The examiner should have a high index of suspicion. We present a case of a healthy 30-year-old male who presented with an acute laceration to the tarsal tunnel. All involved tendons and neurovascular structures in the tarsal tunnel were completely severed. All involved tendons and neurovascular structures were repaired via a tibial artery lesser saphenous vein bypass and direct primary repair of the tibial nerve and all three flexor tendons. A nerve wrap* was utilized protect the tibial nerve and a collagen graft** was used to protect the tendons. Sixteen months from surgical intervention, the patient is back to his usual pre-operative physical activities.

Keywords

Cite the article

Mendeszoon M, Sanders E. Tarsal Tunnel Laceration: A Comprehensive Limb Salvage Surgical Procedure. Clin Surg. 2018; 3: 1956.