Tyllianakis M, Panagiotopoulos E, Megas P, Lambiris E
Orthopaedic Department, Patras Medical School, Greece.
Clin Orthop Relat Res. 1995 Jul(316):211-3.
A 49-year-old man had posttraumatic persistent calf swelling and a tibial and fibular fracture. Despite the intramedullary nailing of the fracture, the swelling did not improve, and at the 6th postoperative week it was misdiagnosed (using venogram) as deep vein thrombosis. Therefore, it was mistreated with anticoagulants, which led to great deterioration of the local signs. An arteriogram revealed an initially missed false peroneal artery aneurysm. Surgical treatment was performed immediately. The 6-week delay had led to some atrophy of the posterior compartment muscles, fortunately without any permanent disability. The importance of proper and early diagnosis of posttraumatic persistent calf swelling is stressed.
一名49岁男性遭受创伤后小腿持续肿胀，并伴有胫腓骨骨折。尽管对骨折进行了髓内钉固定，但肿胀并未改善，术后第6周（通过静脉造影）被误诊为深静脉血栓形成。因此，患者接受了抗凝治疗，这导致局部症状严重恶化。动脉造影显示最初漏诊了腓动脉假性动脉瘤。随即进行了手术治疗。6周的延误导致后侧肌群出现了一些萎缩，所幸没有造成任何永久性残疾。强调了对创伤后小腿持续肿胀进行正确早期诊断的重要性。
