• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

相似文献

1
An Unexpected Intra-operative Encounter of Anterior Tibial Vessels Entrapment in the Fracture of Tibial Pilon: A Case Report and Literature Review.胫骨 Pilon 骨折术中意外发现胫前血管受压：一例报告及文献综述
Indian J Orthop. 2020 Nov 11;55(3):775-779. doi: 10.1007/s43465-020-00305-1. eCollection 2021 Jun.
2
Anterior Compartment Neurovascular Bundle Entrapment in a Minimally Displaced Distal Tibial Fracture: A Case Report.前室神经血管束嵌顿于轻度移位的胫骨远端骨折：病例报告。
JBJS Case Connect. 2022 Jan 20;12(1):01709767-202203000-00018. doi: e21.00647.
3
Staged posterior tibial plating for the treatment of Orthopaedic Trauma Association 43C2 and 43C3 tibial pilon fractures.分期后胫骨板固定治疗骨科创伤协会 43C2 和 43C3 胫骨 Pilon 骨折。
J Orthop Trauma. 2012 Jun;26(6):341-7. doi: 10.1097/BOT.0b013e318225881a.
4
Fracture reduction and primary ankle arthrodesis: a reliable approach for severely comminuted tibial pilon fracture.骨折复位与一期踝关节融合术：治疗严重粉碎性胫骨 Pilon 骨折的可靠方法
Clin Orthop Relat Res. 2014 Dec;472(12):3823-34. doi: 10.1007/s11999-014-3683-x.
5
Evaluation of Fibular Fracture Type vs Location of Tibial Fixation of Pilon Fractures.腓骨骨折类型与Pilon骨折胫骨固定位置的评估。
Foot Ankle Int. 2017 Jun;38(6):650-655. doi: 10.1177/1071100717695348. Epub 2017 Mar 13.
6
[Minimally invasive osteosynthesis of pilon fractures].[跟骨骨折的微创接骨术]
Oper Orthop Traumatol. 2012 Sep;24(4-5):368-82. doi: 10.1007/s00064-012-0170-y.
7
Incidence of tendon entrapment and dislocation with calcaneus and pilon fractures on CT examination.跟骨和胫骨平台骨折在CT检查时肌腱嵌顿和脱位的发生率。
Skeletal Radiol. 2016 Jul;45(7):977-88. doi: 10.1007/s00256-016-2380-0. Epub 2016 Apr 9.
8
Distal tibial pilon fractures (AO/OTA type B, and C) treated with the external skeletal and minimal internal fixation method.采用外固定架结合有限内固定方法治疗的胫骨远端pilon骨折（AO/OTA B型和C型）
Vojnosanit Pregl. 2013 Sep;70(9):836-41. doi: 10.2298/vsp1309836m.
9
Is the absence of an ipsilateral fibular fracture predictive of increased radiographic tibial pilon fracture severity?同侧腓骨骨折的缺失是否预示着胫骨平台骨折的影像学严重程度增加？
J Orthop Trauma. 2006 Jan;20(1):6-10. doi: 10.1097/01.bot.0000189589.94524.ff.
10
A two-choice strategy through a medial tibial approach for the treatment of pilon fractures with posterior or anterior fragmentation.一种经胫骨内侧入路的二选一策略，用于治疗伴有后段或前段骨折块的Pilon骨折。
Chin J Traumatol. 2013;16(5):272-6.

本文引用的文献

1
High-energy tibial pilon fractures: an instructional review.高能胫骨PILON 骨折：教学综述。
Int Orthop. 2019 Aug;43(8):1939-1950. doi: 10.1007/s00264-019-04344-8. Epub 2019 May 15.
2
Irreducible Tibial Pilon Fracture Secondary to Posterior Tibial Tendon Entrapment: A Case Report.
JBJS Case Connect. 2012 Oct-Dec;2(4):e69. doi: 10.2106/JBJS.CC.L.00030.
3
Computed Tomography Assessment of Peroneal Tendon Displacement and Posteromedial Structure Entrapment in Pilon Fractures.计算机断层扫描评估Pilon骨折中腓骨肌腱移位和后内侧结构卡压情况
J Orthop Trauma. 2016 Nov;30(11):627-633. doi: 10.1097/BOT.0000000000000658.
4
Entrapment of the deep peroneal nerve and anterior tibial vessels by a spiral tibial fracture causing partial non-union: a case report.螺旋形胫骨骨折致深腓总神经和胫前血管卡压并部分骨不连：1例病例报告
Skeletal Radiol. 2016 Apr;45(4):551-4. doi: 10.1007/s00256-015-2259-5. Epub 2015 Sep 26.
5
The risk of neurovascular injury in minimally invasive plate osteosynthesis (MIPO) when using a distal tibia anterolateral plate: a cadaver study.使用胫骨远端前外侧钢板进行微创钢板接骨术（MIPO）时神经血管损伤的风险：一项尸体研究。
Acta Chir Orthop Traumatol Cech. 2014;81(5):313-6.
6
Assessing vascular status and risk of latent ischemia with ankle fracture: a case report and algorithm for treatment.评估踝关节骨折患者的血管状况及潜在缺血风险：1例病例报告及治疗方案
J Foot Ankle Surg. 2014 May-Jun;53(3):353-5. doi: 10.1053/j.jfas.2014.01.001. Epub 2014 Feb 28.
7
Entrapped posteromedial structures in pilon fractures.Pilon骨折中被困的后内侧结构。
J Orthop Trauma. 2014 Sep;28(9):528-33. doi: 10.1097/BOT.0000000000000046.
8
Anatomic description of the distal tibia: implications for internal fixation.
J Foot Ankle Surg. 2012 May-Jun;51(3):296-8. doi: 10.1053/j.jfas.2011.11.005. Epub 2012 Jan 31.
9
Anterior tibial artery and deep peroneal nerve entrapment in spiral distal third tibia fracture.螺旋形胫骨远端三分之一骨折合并胫前动脉和腓深神经卡压
Orthopedics. 2008 Dec;31(12). doi: 10.3928/01477447-20081201-13.
10
The distal approach for anterolateral plate fixation of the tibia: an anatomic study.胫骨前外侧钢板固定的远端入路：一项解剖学研究
J Orthop Trauma. 2008 Jul;22(6):404-7. doi: 10.1097/BOT.0b013e31817614b2.

胫骨 Pilon 骨折术中意外发现胫前血管受压：一例报告及文献综述

An Unexpected Intra-operative Encounter of Anterior Tibial Vessels Entrapment in the Fracture of Tibial Pilon: A Case Report and Literature Review.

作者信息

Mishra Abhinav, Das Saubhik, Prasad Hariom, Kumar Arvind, Agrawal Prabhat

机构信息

Orthopaedics, Rajendra Institute of Medical Sciences (RIMS), Bariatu, Ranchi, 834009 India.

Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India.

出版信息

Indian J Orthop. 2020 Nov 11;55(3):775-779. doi: 10.1007/s43465-020-00305-1. eCollection 2021 Jun.

DOI:10.1007/s43465-020-00305-1
PMID:33995887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8081804/
Abstract

We present a rare case of a comminuted tibial pilon fracture with entrapment of anterior tibial vessels in fracture site, which was unexpectedly discovered intra-operatively. Following safe extrication of vessels and fracture fixation through minimally invasive approach, the patient recovered uneventfully. Phenomenon of anterior neurovascular entrapment should be kept in mind while dealing with high-energy tibial pilon fractures. Astute clinical examination, judicious use of imaging modality, and strict intra-operative vigilance are key to successful outcome.

摘要

我们报告一例罕见的胫骨平台粉碎性骨折病例，术中意外发现胫前血管被困于骨折部位。通过微创方法安全地松解血管并固定骨折后，患者顺利康复。在处理高能胫骨平台骨折时，应牢记胫前神经血管受压现象。敏锐的临床检查、合理使用影像学检查方法以及严格的术中监测是取得成功治疗效果的关键。