用于治疗高弓足的足底筋膜切开术后医源性外侧足底动脉损伤——病例报告
Iatrogenic Lesion of the Lateral Plantar Artery following Plantar Fasciotomy for Cavus Foot Correction - A Case Report.
作者信息
Mazzotti Antonio, Zielli Simone Ottavio, Artioli Elena, Facchini Giancarlo, Miceli Marco, Faldini Cesare
机构信息
Orthopaedics and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy.
出版信息
J Orthop Case Rep. 2022 Oct;12(10):10-13. doi: 10.13107/jocr.2022.v12.i10.3344.
INTRODUCTION
The aim of this study was to report a patient with a iatrogenic lesion of the lateral plantar artery following plantar fasciotomy (PF) for cavus foot correction, an extremely rare complication.
CASE REPORT
A 13-year-old male patient with bilateral cavus foot was surgically treated at the right foot. At 36 days follow-up, after plaster cast removal, a massive soft plantar bulge was located on the medial aspect of the foot. Once suture stiches removal was performed, a huge blood collection was evacuated, and active bleeding observed. Contrast-enhanced angio-CT revealed a lesion of the lateral plantar artery. A vascular suture was performed. At 5 months follow-up, the patient was pain-free in his foot.
CONCLUSION
Despite a iatrogenic lesion of the plantar vascular structures following PF is extremely rare, it is a potential complication to consider. Meticulous attention to surgical technique and careful inspection of the foot the day after surgery, before patient discharge, are recommended.
引言
本研究的目的是报告1例在为矫正高弓足而进行足底筋膜切开术（PF）后出现外侧足底动脉医源性损伤的患者，这是一种极其罕见的并发症。
病例报告
一名13岁双侧高弓足男性患者接受了右脚手术治疗。在术后36天随访时，拆除石膏后，足部内侧出现巨大的足底软组织隆起。拆除缝线后，引出大量积血，并观察到活动性出血。增强血管CT显示外侧足底动脉损伤。进行了血管缝合。在术后5个月随访时，患者足部无疼痛。
结论
尽管PF术后足底血管结构的医源性损伤极为罕见，但仍是一种需要考虑的潜在并发症。建议在手术技术上细致入微，并在患者出院前术后当天仔细检查足部。
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