Goubier J N, Laporte C, Saillant G
Service de chirurgie orthopédique, traumatologique et réparatrice de l'appareil locomoteur, GH Pitié-Salpétrière, 83, boulevard de l'Hôpital, 75013 Paris.
Rev Chir Orthop Reparatrice Appar Mot. 2000 Oct;86(6):621-4.
A 55-year-old man developed a pseudoaneurysm of the popliteal artery after tibial valgization osteotomy performed for degenerative genu varum. A tourniquet was used for the procedure. A wedge osteotomy was performed two centimeters under the joint line; the correction angle was ten degrees. Immediately after the end of the procedure, the distal pulses disappeared for ten minutes. Doppler exploration of the arterial network did not demonstrate any anomaly. Ten days postoperatively, the patient complained of sudden onset pain in the knee and tension in the popliteal fossa. Arteriography demonstrated a pseudo-aneurysm of the popliteal artery. The lesion caused an interruption of arterial flow and was successfully treated by emergency resection and suture.
一名55岁男性因退行性膝内翻行胫骨外翻截骨术后发生腘动脉假性动脉瘤。手术中使用了止血带。在关节线下方两厘米处进行楔形截骨；矫正角度为10度。手术结束后立即出现远端脉搏消失10分钟。对动脉网络进行多普勒检查未发现任何异常。术后10天，患者主诉膝关节突然疼痛和腘窝处有张力感。动脉造影显示腘动脉假性动脉瘤。该病变导致动脉血流中断，通过急诊切除和缝合成功治疗。
