Benradi Larbi, El Haissoufi Kamal, Rezziki Abdellah, El Mahi Omar, Belahcen Mohamed
Pediatric Surgery, Mohammed VI University Hospital of Oujda/Faculty of Medicine, Mohammed 1st University of Oujda, Oujda, MAR.
Vascular Surgery, Mohammed VI University Hospital of Oujda/Faculty of Medicine, Mohammed 1st University of Oujda, Oujda, MAR.
Cureus. 2022 Feb 3;14(2):e21868. doi: 10.7759/cureus.21868. eCollection 2022 Feb.
Post-traumatic vascular lesions of the lower extremity in children are uncommon and present some particularities in their management in comparison to those that occur in adults. Here, we report the case of an 11-year-old boy who presented with a diaphyseal fracture of the right femur associated with an injury of the homolateral superficial femoral artery after blunt trauma of the lower limb. The bone and the arterial injuries were surgically and successfully treated by an elastic stable centromedullary nailing and a venous bypass, respectively, with a good clinical and radiological evolution. The management of vascular injuries in childhood can be challenging and requires some special measures to avoid undesirable complications. Functional prognosis is generally described to be good if a rapid and adequate treatment is performed.
儿童下肢创伤后血管损伤并不常见，与成人相比，其治疗存在一些特殊性。在此，我们报告一例11岁男孩的病例，该男孩因下肢钝性创伤后出现右股骨干骨折，并伴有同侧股浅动脉损伤。分别通过弹性稳定髓内钉和静脉搭桥术对骨骼和动脉损伤进行了手术治疗，且取得成功，临床和影像学进展良好。儿童血管损伤的治疗可能具有挑战性，需要采取一些特殊措施以避免不良并发症。如果进行快速且充分的治疗，功能预后通常被认为良好。
