全膝关节置换术后伴腘动脉损伤的假体周围胫骨骨折——一例报告
Periprosthetic tibial fracture after total knee arthroplasty with popliteal artery injury-A case report.
作者信息
Konishi Hironobu, Maegawa Naoki, Nakao Satoko, Masuda Keisuke, Okuda Akinori, Ando Yushi, Kawamura Kenji, Yamamoto Kouji, Miyazaki Keita, Tada Yusuke, Takano Keisuke, Asai Hideki, Kawai Yasuyuki, Urisono Yasuyuki, Fukushima Hidetada, Tanaka Yasuhito
机构信息
Department of Orthopedic Surgery, Nara Medical University, 840 Shijotyo, Kashihara City, Nara 654-8522, Japan.
Department of Emergency and Critical Care Medicine, Nara Medical University, Nara, Japan.
出版信息
Trauma Case Rep. 2020 Oct 8;30:100359. doi: 10.1016/j.tcr.2020.100359. eCollection 2020 Dec.
We present the case of a 79-year-old woman who presented at our center with a periprosthetic tibial fracture with a popliteal artery injury after total knee arthroplasty. Anastomosis of the popliteal artery was performed on the day of injury, and was later treated by open reduction and internal fixation. The patient was able to walk 3 months after injury. The present case was difficult to treat because of the arterial injury associated with periprosthetic fracture. Although revision of the implant was considered, open reduction and internal fixation was selected because of the severity of soft-tissue damage. The mechanism of injury is not uncommon, and it is expected that similar fractures will become more prevalent in the future as the number of knee replacement surgeries increases.
我们报告了一例79岁女性患者的病例，该患者在全膝关节置换术后因假体周围胫骨骨折合并腘动脉损伤前来我院就诊。受伤当天进行了腘动脉吻合术，随后接受了切开复位内固定治疗。患者受伤后3个月能够行走。由于假体周围骨折合并动脉损伤，本病例治疗困难。尽管考虑了翻修植入物，但由于软组织损伤严重，选择了切开复位内固定。这种损伤机制并不罕见，预计随着膝关节置换手术数量的增加，未来类似骨折将变得更加普遍。
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