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骨筋膜室综合征作为豪泽手术的一种并发症。

Compartment syndrome as a complication of the Hauser procedure.

作者信息

Wall J J

出版信息

J Bone Joint Surg Am. 1979 Mar;61(2):185-91.

PMID:370117
Abstract

A compartment syndrome developed in eleven patients who had undergone the Hauser procedure. The residual disabilities ranged from mild weakness and contracture of the muscles in the anterior compartment of the leg to complete muscle necrosis necessitating above-the knee amputation in two patients. Dissections of ten cadaver limbs demonstrated that the anterior tibial recurrent vessels have numberous leash-like branches that terminate along the lateral border of the tibial tubercle. When these vessels are sectioned they retract laterally and distally under the fascia and within the muscles of the anterior compartment. It is postulated that continued postoperative bleeding from these vessels after the Hauser procedure may lead to an ischemic compartment syndrome in the leg.

摘要

11例接受豪泽手术的患者发生了骨筋膜室综合征。残留残疾程度不一,从轻度的小腿前侧肌肉无力和挛缩到严重的肌肉坏死,其中2例患者需要进行膝上截肢。对10具尸体下肢的解剖显示,胫前返血管有许多束状分支,沿胫骨结节外侧缘终止。当这些血管被切断时,它们会在筋膜下和小腿前侧肌肉内向外侧和远端回缩。据推测,豪泽手术后这些血管持续出血可能导致小腿缺血性骨筋膜室综合征。

相似文献

1
Compartment syndrome as a complication of the Hauser procedure.骨筋膜室综合征作为豪泽手术的一种并发症。
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