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 (
1). 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.
- 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
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- 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
Published online: December 05, 2022
Financial Disclosure: None reported.
Conflict of Interest: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Editor's note: There is no accompanying reply to this correspondence.
© 2022 by the American College of Foot and Ankle Surgeons. All rights reserved.