%0 Journal Article
%T ˇ°Asymmetric scalloping of the regenerateˇ±: a radiological sign of pseudoaneurysm in distraction osteogenesis
%A J. Fagg
%A A. Gulihar
%A J. A. Fernandes
%J Strategies in Trauma and Limb Reconstruction
%@ 1828-8928
%D 2011
%I Springer
%R 10.1007/s11751-011-0121-4
%X Pseudoaneurysm formation is an uncommon but well-recognised and important complication in limb reconstruction surgery. Postoperative diagnosis is usually clinical or an incidental finding. We present an 11-year-old girl, who underwent two-stage limb lengthening with a circular fixator, for a previously treated pseudoarthrosis of the tibia. During the lengthening plan, a concave defect was noted on one side of the regenerate, which was found to be due to extrinsic compression by a pseudoaneurysm. Normal regenerate formation was seen after selective embolisation of the pseudoaneurysm. This concave appearance on one side of the regenerate has previously been described secondary to a difference in stability on the two sides of the osteotomy, when a monolateral fixator is used, but not due to extrinsic compression by a pseudoaneurysm. The authors propose that this radiographic appearance of ˇ°asymmetrical scallopingˇ± on one side of the regenerate may represent a radiological sign of a pseudoaneurysm formation and should provoke investigation for the same.
%K Asymmetric scalloping
%K Regenerate
%K Pseudoaneurysm
%K External fixator
%K Distraction osteogenesis
%U http://link.springer.com/article/10.1007/s11751-011-0121-4