Roy Supratim, Patidar Bhavesh, Bhangale Yogesh, Badole C M
Department of Orthopaedics, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India.
J Orthop Case Rep. 2025 Jun;15(6):34-38. doi: 10.13107/jocr.2025.v15.i06.5654.
Acute popliteal artery thrombosis can occur as a result of direct trauma to the knee in cases of knee dislocations, distal femur fractures, and tibial plate fractures. Traction injury can induce indirect trauma, including popliteal artery laceration. Popliteal artery transection injury can have fatal effects for patients, since irreversible ischemia can occur in as little as 6-8 h.
We report a rare case of 21-year-old male patient with closed displaced medial condyle fracture of tibia with popliteal artery thrombosis which was managed by intra-arterial thrombolysis.
Popliteal artery thrombosis though a rare complication should be suspected and ruled out by imaging techniques in cases of blunt trauma to knee leading to tibial plateau fractures along with some neurological deficit and echymosis posterior to knee that suggests high intensity of trauma.
急性腘动脉血栓形成可因膝关节脱位、股骨远端骨折和胫骨平台骨折时膝关节受到直接创伤而发生。牵引损伤可导致间接创伤，包括腘动脉撕裂。腘动脉横断伤可对患者产生致命影响，因为在短短6 - 8小时内就可能发生不可逆的缺血。
我们报告一例罕见病例，一名21岁男性患者，闭合性胫骨内侧髁移位骨折并伴有腘动脉血栓形成，通过动脉内溶栓治疗。
腘动脉血栓形成虽然是一种罕见的并发症，但在因钝性膝关节创伤导致胫骨平台骨折并伴有一些神经功能缺损以及膝关节后方瘀斑提示创伤严重程度较高的情况下，应通过影像学技术怀疑并排除。
