Guiral J, Vázquez P, Ortega M
Département de chirurgie orthopédique, Hôpital Général de Ségovie, Ségovie, Espagne.
Rev Chir Orthop Reparatrice Appar Mot. 1995;81(6):546-8.
Although tibia and fibula fractures are common, associated injury of the posterior tibial artery is rare. We present an unusual case of pseudoaneurysm of posterior tibial artery complicating a closed tibial and fibular fracture.
A 21-year-old man injured his left leg while playing football.
The diagnosis was suspected by the presence of persisting painful swelling at the fracture site. Echography, and later angiography confirmed it.
The patient was successfully treated with a saphenous vein interposition graft. The tibial fracture was stabilized with a Küntscher nail, and five months after surgery the fractures healed.
A review of the literature revealed only 11 civilian cases of pseudoaneurysm of the posterior tibial artery. The clinical signs, specific diagnosis and operative treatment are discussed.
Our case emphasizes that attention must be paid to the vascular complications of fractures, that may not become evident until some time after the initial injury.
尽管胫腓骨骨折很常见，但胫后动脉的相关损伤却很罕见。我们报告一例不寻常的胫后动脉假性动脉瘤，它使闭合性胫腓骨骨折复杂化。
一名21岁男性在踢足球时左腿受伤。
通过骨折部位持续存在疼痛性肿胀怀疑该诊断。超声检查以及后来的血管造影证实了这一诊断。
患者通过大隐静脉移植成功治疗。胫骨骨折用Küntscher髓内钉固定，术后五个月骨折愈合。
文献回顾显示仅11例胫后动脉假性动脉瘤的平民病例。讨论了其临床体征、特异性诊断和手术治疗。
我们的病例强调必须注意骨折的血管并发症，这些并发症可能在初始损伤后的一段时间内才变得明显。
