Kerens Bart, Boonen Bert, Schotanus Martijn G M, Kort Nanne P
Department of Orthopedic Surgery, AZ Monica, Deurne, Belgium.
Department of Surgery, Vie Curie Medical Centre, Venlo, The Netherlands.
J Orthop. 2013 Mar 1;10(1):38-40. doi: 10.1016/j.jor.2013.01.010. eCollection 2013.
Popliteal artery injury is a rare but known complication in knee surgery. Only one article in current literature reports that the risk increases during revision knee surgery. A new case is described in which an injury to the popliteal artery occurred during lateral unicompartmental to total knee arthroplasty revision surgery. This vascular injury occurred 5-10 cm below the tibial resection level in a healthy patient with a history of cruris fracture with plate osteosynthesis and lateral unicompartmental knee arthroplasty. This paper stresses the importance of being aware that trauma and surgery can create fibrosis in which the popliteal artery can get fixated, thus reducing the scope for safe manipulation of the knee during secondary surgery.
腘动脉损伤是膝关节手术中一种罕见但已知的并发症。目前文献中仅有一篇文章报道在膝关节翻修手术中该风险会增加。本文描述了一例新病例,在外侧单髁膝关节置换翻修手术至全膝关节置换手术过程中发生了腘动脉损伤。该血管损伤发生在一名有小腿骨折钢板内固定史及外侧单髁膝关节置换史的健康患者的胫骨截骨水平以下5 - 10厘米处。本文强调了认识到创伤和手术可导致纤维化,使腘动脉固定,从而在二次手术中减少膝关节安全操作空间这一情况的重要性。