Department of Orthopaedic Surgery, Changi General Hospital, Singapore.
JBJS Case Connect. 2024 Oct 24;14(4). doi: 10.2106/JBJS.CC.24.00225. eCollection 2024 Oct 1.
A 44-year-old man sustained a thrombosed popliteal artery after a closed left knee dislocation after a high-energy motor vehicle collision. He underwent emergency open popliteal artery embolectomy, with insertion of endovascular stent. After arthroscopic multiligamentous knee injury reconstruction (MLKI-R) on day 18 after injury, he developed stent thrombosis, which resolved with urgent percutaneous thrombectomy.
This is the first report of popliteal artery stent thrombosis after MLKI-R. Knee surgery in a revascularized limb has remained controversial, but studies are scarce in the literature. Frequent circulation monitoring and vascular specialist availability postoperatively are still key to detecting this complication and early revascularization.
一名 44 岁男子因高能机动车事故导致左膝闭合性脱位后出现血栓性腘动脉,接受了紧急开放的腘动脉动脉取栓术,并置入了血管内支架。受伤后第 18 天行关节镜下多韧带膝关节损伤重建(MLKI-R)后,出现支架内血栓形成,经紧急经皮血栓切除术得到解决。
这是 MLKI-R 后腘动脉支架内血栓形成的首例报告。在再血管化肢体中进行膝关节手术一直存在争议,但文献中此类研究很少。术后仍需密切监测循环并保持血管专科医生随时待命,这对于及时发现该并发症并进行早期血运重建至关重要。