Szyber P, Skóra J, Rybak W, Pupka A
Department and Clinic of Vascular, General and Transplantation Surgery, Wroclaw Medical University, Wroclaw, Poland.
Vasa. 2011 Sep;40(5):414-7. doi: 10.1024/0301-1526/a000140.
Due to its anatomical location the popliteal artery is exposed to injury during surgical procedures in the region of the knee joint, in particular during high-level corrective osteotomies of the proximal tibial epiphysis. Nevertheless, posttraumatic (iatrogenic) pseudoaneurysm constitutes a very rare complication of the procedure. Only few reports of such complication have been published and they were usually connected with lateral tibial osteotomy - the accidents after medial osteotomy are seldom. The complication we report was observed in a 52-year-old female patient after corrective osteotomy of the medial portion of the proximal tibial epiphysis. The complication was diagnosed 7 days after surgery on US-examination and subsequently confirmed by emergently performed angio-CT. The patient was referred for urgent reconstructive surgery. No significant complications were observed, neither postoperatively nor during follow-up visits.
由于其解剖位置，腘动脉在膝关节区域的外科手术过程中容易受到损伤，特别是在近端胫骨骨骺的高位矫正截骨术中。然而，创伤后（医源性）假性动脉瘤是该手术非常罕见的并发症。关于这种并发症的报道很少，而且通常与胫骨外侧截骨术有关——内侧截骨术后的事故很少见。我们报告的这例并发症发生在一名52岁女性患者身上，该患者接受了近端胫骨骨骺内侧部分的矫正截骨术。术后7天经超声检查诊断出该并发症，随后通过紧急进行的血管CT得以证实。该患者被转诊进行紧急重建手术。术后及随访期间均未观察到明显并发症。
