Mishra Abhinav, Das Saubhik, Prasad Hariom, Kumar Arvind, Agrawal Prabhat
Orthopaedics, Rajendra Institute of Medical Sciences (RIMS), Bariatu, Ranchi, 834009 India.
Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India.
Indian J Orthop. 2020 Nov 11;55(3):775-779. doi: 10.1007/s43465-020-00305-1. eCollection 2021 Jun.
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.
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。