Katsuura Yoshihiro, Gardner Warren E
Department of Orthopaedic Surgery, University of Tennessee at Chattanooga College of Medicine, 975 East Third St. Box 260, Chattanooga, TN 37403, United States.
Trauma Case Rep. 2017 Jan 15;8:32-35. doi: 10.1016/j.tcr.2017.01.017. eCollection 2017 Apr.
Minimally invasive plate osteosynthesis (MIPO) techniques have been developed to protect the blood flow to tissues surrounding fractures and reduce the risk of non-union. Typically, MIPO involves the insertion of a plate through a small incision and fixation with percutaneously applied screws targeted fluoroscopically. Here we present a case of a transected anterior tibial artery during routine minimally invasive plate osteosynthesis of a tibial plateau fracture to highlight a rare complication of this type of surgery and discuss relevant anatomical considerations.
According to the OCEBM Levels of Evidence Working Group, this study is graded as a Level of Evidence IV.
微创钢板接骨术(MIPO)技术已被开发用于保护骨折周围组织的血流并降低骨不连风险。通常,MIPO包括通过小切口插入钢板并用经皮应用的螺钉在透视引导下进行固定。在此,我们报告一例在胫骨平台骨折的常规微创钢板接骨术中胫前动脉横断的病例,以突出这类手术的一种罕见并发症,并讨论相关的解剖学注意事项。
根据循证医学中心(OCEBM)证据水平工作组的标准,本研究被评为证据水平IV级。