Fokin A A, Orekhova L A
Vestn Khir Im I I Grek. 1978 May;120(5):42-5.
From the experience with 11 patients the authors show that in acute patency disorders of the iliac, femoral and popliteal arteries some symptoms of the injury mainly to the muscles and sometimes to the nerves of the anterior bed of the leg--"anterior tibial syndrome"--are likely to occur. An urgent reconstructive surgical intervention upon the artery, anterior fasciotomy is of a crucial importance in the treatment of this condition. Depending on the cause of the disease embol- and thrombectomy, circular suture or autovenous plasty of the artery were performed. 6 patients recovered, 3 patients developed a considerable functional disorder of the foot and toes extensors, in 2 patients the process resulted in the development of gangrene of the extremity.
根据对11例患者的经验，作者表明，在髂动脉、股动脉和腘动脉急性通畅障碍时，腿部前侧床的肌肉有时还有神经会出现一些损伤症状——“胫前综合征”。对动脉进行紧急重建手术干预时，前路筋膜切开术对治疗这种情况至关重要。根据病因进行了栓子切除术、血栓切除术、动脉环形缝合或自体静脉成形术。6例患者康复，3例患者出现了足部和脚趾伸肌的严重功能障碍，2例患者病情发展为肢体坏疽。
