髋关节和膝关节置换术中的血管损伤。

Vascular Injuries During Hip and Knee Replacement.

机构信息

Lower Limb Reconstruction, Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada; Department of Orthopaedics, Diamond Health Care Centre, Complex Joint Clinic, 3rd Floor, 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada.

出版信息

Orthop Clin North Am. 2022 Jan;53(1):1-12. doi: 10.1016/j.ocl.2021.08.009.

DOI:10.1016/j.ocl.2021.08.009

PMID:34799015

Abstract

Vascular injuries associated with hip and knee arthroplasty are rare but can result in devastating outcomes for the patient. A sound knowledge of vascular anatomy, potential mechanisms of injury, and diagnosis and management of vascular injuries are vital to an arthroplasty surgeon. Identifying high-risk patients and procedures allows careful preoperative planning, which combined with meticulous intraoperative technique, may help avoid vascular complications. When vascular injuries do occur, early recognition and intervention are critical to an improved outcome.

摘要

髋关节和膝关节置换术相关的血管损伤较为罕见，但可能会对患者造成严重后果。熟悉血管解剖结构、潜在的损伤机制以及血管损伤的诊断和治疗对关节置换术医生至关重要。确定高危患者和手术可进行仔细的术前规划，结合精细的术中技术，有助于避免血管并发症。当发生血管损伤时，早期识别和干预对改善预后至关重要。