Mariani P P, Mancini L, Giorgini T L
University of Motor Sciences, Rome, Italy.
Arthroscopy. 2001 Apr;17(4):400-2. doi: 10.1053/jars.2001.22367.
We describe a case of pseudoaneurysm of the anterior tibial artery as a complication after arthroscopic ankle synovectomy, in which standard anterolateral and anteromedial portals were used. Pseudoaneurysm has been previously reported as a complication in ankle arthroscopy with the use of the anterocentral portal. Previously described anatomic variations of the tibial artery and its close relationship with the anterior ankle capsule may complicate arthroscopic surgery, especially when aggressive synovectomy is performed. Anterior tibial artery aneurysm is a rare complication of ankle arthroscopy, but its potential catastrophic sequelae must not be underestimated.
我们描述了一例在关节镜下踝关节滑膜切除术后出现胫前动脉假性动脉瘤的病例，该手术使用了标准的前外侧和前内侧入路。此前曾有报道称，使用前中央入路进行踝关节镜检查时，假性动脉瘤是一种并发症。先前描述的胫动脉解剖变异及其与踝关节前侧关节囊的密切关系可能会使关节镜手术复杂化，尤其是在进行激进的滑膜切除术时。胫前动脉动脉瘤是踝关节镜检查的一种罕见并发症，但其潜在的灾难性后果绝不可低估。
