Dennis D A, Neumann R D, Toma P, Rosenberg G, Mallory T H
Clin Orthop Relat Res. 1987 Sep(222):255-60.
Two cases of traumatic arteriovenous fistula with false aneurysm of the inferior medial geniculate artery are reported as a complication of total knee arthroplasty. Both cases were diagnosed within the first two months following the knee surgery. Diagnosis in both cases was confirmed by arteriography. Surgical excision of this lesion with ligation of the inferior medial geniculate artery resolved both of these complications. Strict hemostasis in the region of the inferior medial geniculate artery following subperiosteal release of the medial ligaments in total knee arthroplasty should prevent this complication.
本文报告了两例因全膝关节置换术并发症导致的创伤性动静脉瘘合并内侧膝下动脉假性动脉瘤的病例。两例均在膝关节手术后的头两个月内确诊。两例诊断均经动脉造影证实。通过手术切除该病变并结扎内侧膝下动脉，解决了这两种并发症。在全膝关节置换术中，在内侧韧带骨膜下松解后，在内侧膝下动脉区域进行严格止血应可预防此并发症。
