Department of Orthopaedics & Rehabilitation, Yale School of Medicine, New Haven, Connecticut.
Yale School of Medicine, New Haven, Connecticut.
JBJS Case Connect. 2021 Apr 9;11(2):01709767-202106000-00016. doi: e20.00516.
A 29-year-old healthy woman, 19 weeks pregnant, sustained a right posterolateral knee dislocation with multiligamentous injury and a complete occlusive injury to the right popliteal artery yet had adequate distal perfusion. She declined operative management for both the knee dislocation and the arterial injury, and successful collaboration between obstetrical, vascular, and orthopaedic surgical services resulted in limb preservation and restoration of function.
This is a unique case of traumatic complete popliteal artery occlusion with adequate collateral arterial perfusion after a reducible posterolateral knee dislocation in a pregnant patient that resulted in limb preservation with nonoperative management.
一位 29 岁健康女性,孕 19 周,发生右后外侧膝脱位,伴有多韧带损伤和右腘动脉完全闭塞性损伤,但远端灌注充足。她拒绝手术治疗膝脱位和动脉损伤,产科、血管和骨科手术服务的成功协作导致肢体得以保留和功能恢复。
这是一例独特的病例,在可复位的后外侧膝脱位后发生创伤性完全腘动脉闭塞,但有充足的侧支动脉灌注,导致孕妇肢体得以保留,采用非手术治疗。