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Letter to the Editor| Volume 62, ISSUE 2, P405, March 2023

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Letter to the Editor on “Aplastic Posterior Tibial Artery in the Presence of Trimalleolar Ankle Fracture Dislocation Resulting in Below-the-Knee Amputation”

  • Liangfeng Xu
    Correspondence
    Address correspondence to: Liangfeng Xu, MD, Department of Orthopaedics, Dongyang People's Hospital, Wenzhou Medical University Affiliated Dongyang Hospital, No. 60, Wuning West Road, Dongyang, China.
    Affiliations
    Department of Orthopaedics, Dongyang People's Hospital, Wenzhou Medical University Affiliated Dongyang Hospital, Dongyang, China
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Published:December 05, 2022DOI:https://doi.org/10.1053/j.jfas.2022.06.015
      I have read the case report with great interest entitled “Aplastic Posterior Tibial Artery in the Presence of Trimalleolar Ankle Fracture Dislocation Resulting in Below-the-Knee Amputation” by Bellezza et al (
      • Bellezza PA
      • Elliott E
      • Conlee T
      • Clements JR.
      Aplastic posterior tibial artery in the presence of trimalleolar ankle fracture dislocation resulting in below-the-knee amputation.
      ). The authors described a rare popliteal artery variant that ultimately resulted in critical limb ischemia and below-the-knee amputation after foot and ankle trauma. Although I deeply appreciate the author's efforts in the diagnosis and treatment of this patient, I found the suspected misinformation presented in Fig. 3C showed that the popliteal artery was bifurcated into the peroneal artery (left, black arrow) and anterior tibial artery (right, white arrow). However, the authors described in Fig. 3A and B that the left distal occluded vessel was the anterior tibial artery, and the right segmental occluded vessel was the peroneal artery. Inconsistent information presented between the three images has led to confusion and I would respectfully ask the authors to clarify the information.
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      References

        • Bellezza PA
        • Elliott E
        • Conlee T
        • Clements JR.
        Aplastic posterior tibial artery in the presence of trimalleolar ankle fracture dislocation resulting in below-the-knee amputation.
        J Foot Ankle Surg. 2017; 56: 92-97