case_images: PMC10715849_01
case_images: Knee radiograph demonstrating a displaced Salter-Harris III fracture of the proximal tibial epiphysis with incidental benign cortical lesion in the distal femur. (a) Lateral; (b) anterior posterior.
case_images: CRIOR2023-4104127.001.jpg
case_images: PMC10715849_01_CRIOR2023-4104127.001.jpg
case_images: fig1
case_images: Upon admission, radiographs demonstrated a SHIII proximal tibia fracture with approximately 5 mm of posterolateral displacement of the medial fragment (Figure 1).
case_images: Arteriogram demonstrating occlusion of the popliteal artery at the level of the SHIII fracture of the proximal tibial epiphysis.
case_images: CRIOR2023-4104127.002.jpg
case_images: PMC10715849_01_CRIOR2023-4104127.002.jpg
case_images: fig2
case_images: There was reconstitution of the anterior tibial and posterior tibial arteries due to apparent collateral flow (Figure 2).
case_images: Postoperative knee radiograph demonstrating screw fixation with anatomic reduction and healing of displaced proximal tibial epiphyseal with metallic clips from vascular surgery. (a) Lateral; (b) anterior posterior.
case_images: CRIOR2023-4104127.003.jpg
case_images: PMC10715849_01_CRIOR2023-4104127.003.jpg
case_images: fig3
case_images: Fluoroscopic guidance was used to place three 4.5 mm cannulated screws from lateral to medial through the epiphysis while maintaining reduction with a clamp (Figure 3).
case_images: Color Doppler ultrasound/ABI obtained 2 months status postoperative intervention indicating graft patency in both longitudinal and transverse planes.
case_images: CRIOR2023-4104127.004.jpg
case_images: PMC10715849_01_CRIOR2023-4104127.004.jpg
case_images: fig4
case_images: A six-week follow-up appointment with the color Doppler showed continued patency of the SVG graft (Figure 4).