Gupta Som Pratap, Agarwal Anil
Department of Orthopedics, SMS Medical College and Hospital, Jaipur, Rajasthan, India.
J Orthop Sci. 2004;9(5):526-8. doi: 10.1007/s00776-004-0803-6.
A rare case of double epiphyseal injuries in the same tibia is reported. A 4-year-old child was struck by a vehicle and presented with the above fractures and vascular compromise to the extremity. Following localization of the vascular occlusion level by arteriography, popliteal vessel anastomosis was attempted. The vascular repair failed, resulting in disarticulation through the knee. Simultaneous displaced proximal and distal epiphyseal injury in the same tibia has not been previously reported in the literature. The most serious complication of injury to the proximal tibia is vascular compromise. A delay in recognition or intervention in such cases can be devastating.
报告了一例罕见的同一胫骨双骨骺损伤病例。一名4岁儿童被车辆撞击，出现上述骨折以及肢体血管受损情况。通过动脉造影确定血管闭塞水平后，尝试进行腘血管吻合术。血管修复失败，导致膝关节离断。同一胫骨同时出现近端和远端骨骺移位损伤此前未见文献报道。胫骨近端损伤最严重的并发症是血管受损。在此类病例中，识别或干预的延迟可能是灾难性的。
