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[医源性动静脉瘘:膝关节镜检查术后罕见并发症]

[Iatrogenious arteriovenous fistula: rare complication after knee arthroscopy].

作者信息

Kelm J, Ames M, Schmitt E

机构信息

Orthopädische Universitätsklinik, Homburg/Saar.

出版信息

Chirurg. 1999 Oct;70(10):1174-6. doi: 10.1007/s001040050883.

Abstract

Vascular damage due to arthroscopy is a rare complication. Postoperative occurrence of an arteriovenous fistula after using an electric hook for arthroscopic partial medial meniscectomy is described. Due to uncharacteristic symptoms of the arteriovenous fistula as a vascular complication after arthroscopy, the correct diagnosis may take a long time. In order to avoid damage to the popliteal vessels, the removal of the posterior horn of the medial meniscus should be performed under best visibility conditions with mild flexion and only mild external rotation of the calf. Considering the severe consequences, popliteal vascular damage is worth mentioning during preoperative information, even if it is an extremely rare complication.

摘要

关节镜检查导致的血管损伤是一种罕见的并发症。本文描述了在关节镜下使用电钩行内侧半月板部分切除术术后发生动静脉瘘的情况。由于动静脉瘘作为关节镜检查后血管并发症的症状不典型,正确诊断可能需要很长时间。为避免损伤腘血管,内侧半月板后角的切除应在小腿轻度屈曲和仅轻度外旋的最佳视野条件下进行。考虑到严重后果,即使腘血管损伤是一种极其罕见的并发症,在术前告知时也值得提及。

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