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解剖学全内置前交叉韧带重建术后动静脉瘘

Arteriovenous Fistula after Anatomic All-Inside Anterior Cruciate Ligament Reconstruction.

作者信息

Fuchs Mathijs C H W, Dietvorst Martijn, Vaes Roel, Loos Maarten, Somford Matthijs P, Janssen Rob P A

机构信息

Department of Orthopaedic Surgery and Traumatology, Maxima Medisch Centrum, Postbus 7777, 5500 MB Veldhoven, Netherlands.

Department of Vascular Surgery, Maxima Medisch Centrum, Postbus 7777, 5500 MB Veldhoven, Netherlands.

出版信息

Case Rep Orthop. 2017;2017:1034018. doi: 10.1155/2017/1034018. Epub 2017 Nov 26.

DOI:10.1155/2017/1034018
PMID:29318071
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5727692/
Abstract

We present the first case of an arteriovenous fistula after an all-inside anterior cruciate ligament (ACL) reconstruction. A seventeen-year-old boy had an uneventful ACL reconstruction. Four weeks after surgery, the patient was seen with a pulsating swelling at the lateral distal upper leg. Vascular consultation led to the diagnosis of pseudoaneurysm and arteriovenous fistula of the lateral superior genicular artery. Most likely, fistula is caused by the stab incision for preparation of the femoral tunnel, and no anatomical cause was found. The clinical presentation, previous cases of arteriovenous fistula after arthroscopic ACL reconstruction, possible causes, and management are discussed.

摘要

我们报告首例全内置式前交叉韧带（ACL）重建术后动静脉瘘病例。一名17岁男孩接受了顺利的ACL重建手术。术后四周，患者被发现小腿上段外侧有搏动性肿胀。血管会诊诊断为膝上外侧动脉假性动脉瘤和动静脉瘘。瘘管很可能是由制备股骨隧道的穿刺切口引起的，未发现解剖学原因。本文讨论了临床表现、既往关节镜下ACL重建术后动静脉瘘病例、可能的病因及处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573a/5727692/01c0a3075a47/CRIOR2017-1034018.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573a/5727692/460244a8fd6e/CRIOR2017-1034018.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573a/5727692/ae6171a59f8d/CRIOR2017-1034018.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573a/5727692/9ff326671f19/CRIOR2017-1034018.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573a/5727692/d5cad6b79795/CRIOR2017-1034018.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573a/5727692/01c0a3075a47/CRIOR2017-1034018.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573a/5727692/460244a8fd6e/CRIOR2017-1034018.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573a/5727692/ae6171a59f8d/CRIOR2017-1034018.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573a/5727692/9ff326671f19/CRIOR2017-1034018.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573a/5727692/d5cad6b79795/CRIOR2017-1034018.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/573a/5727692/01c0a3075a47/CRIOR2017-1034018.005.jpg

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本文引用的文献

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World J Orthop. 2016 Sep 18;7(9):604-17. doi: 10.5312/wjo.v7.i9.604.
2
Randomized controlled trial comparing all-inside anterior cruciate ligament reconstruction technique with anterior cruciate ligament reconstruction with a full tibial tunnel.随机对照试验比较全内前交叉韧带重建技术与全胫骨隧道前交叉韧带重建技术。
Arthroscopy. 2013 Jul;29(7):1195-200. doi: 10.1016/j.arthro.2013.04.009.
3
Pseudoaneurysm of the superior lateral genicular artery: case report of a rare complication after total knee arthroplasty.
膝上外侧动脉假性动脉瘤：全膝关节置换术后罕见并发症的病例报告
Patient Saf Surg. 2013 May 20;7:15. doi: 10.1186/1754-9493-7-15. eCollection 2013.
4
Traumatic arteriovenous fistula formation after misplaced femoral tunnel in arthroscopic anterior cruciate ligament reconstruction.关节镜下前交叉韧带重建中股骨隧道位置不当后创伤性动静脉瘘的形成
Eklem Hastalik Cerrahisi. 2012;23(2):117-20.
5
A population-based nationwide study of cruciate ligament injury in Sweden, 2001-2009: incidence, treatment, and sex differences.一项基于人群的 2001-2009 年瑞典十字韧带损伤的全国性研究：发病率、治疗方法和性别差异。
Am J Sports Med. 2012 Aug;40(8):1808-13. doi: 10.1177/0363546512449306. Epub 2012 Jun 8.
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