Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto, Rio de Janeiro 22430-060, Brazil.
Departamento de Ortopedia, Universidade Estadual de Campinas, Campinas 13083-887, Brazil.
Medicina (Kaunas). 2021 Nov 9;57(11):1220. doi: 10.3390/medicina57111220.
Open traumatic lesion of the popliteal artery is relatively rare. Ischemia time longer than 6 h and severity of limb ischemia have been shown to be associated with an increased risk of limb loss. Severe local infection is critical in the presence of major soft tissue trauma or open fractures. We report the case of a young female who suffered a traumatic transection of the popliteal artery associated with an open fracture of the distal tibia and fibula managed by direct vessel reconstruction with an end-to-end repair and skeletal stabilization initially with half-pin external fixation, then replaced by an Ilizarov circular frame. The patient had a very satisfactory outcome, but the fracture healed malunited, later corrected by open reduction and internal fixation with lag-screwing and a neutralization plate.
腘动脉开放性创伤性损伤相对少见。缺血时间超过 6 小时和肢体缺血的严重程度与肢体丧失的风险增加有关。在存在严重软组织创伤或开放性骨折的情况下，严重的局部感染是关键。我们报告了一例年轻女性的病例，她因外伤导致腘动脉横断伤，伴有远端胫骨和腓骨开放性骨折，最初采用半钉外固定进行直接血管重建，采用端端修复和骨骼固定，然后更换为伊利扎洛夫环形框架。患者的结果非常满意，但骨折愈合不良，后来通过切开复位和内固定，使用拉力螺钉和中和钢板进行了矫正。
