腘动脉损伤合并胫骨近端骨折1例。

Supratim Roy, Bhavesh Patidar, Yogesh Bhangale, C M Badole
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引用次数: 0

摘要

在膝关节脱位、股骨远端骨折和胫骨板骨折的情况下,直接损伤膝关节可导致急性腘动脉血栓形成。牵引损伤可引起间接创伤,包括腘动脉撕裂伤。腘动脉横断损伤对患者具有致命的影响,因为不可逆缺血可在短短6-8小时内发生。病例报告:我们报告了一例罕见的21岁男性胫骨闭合性移位内髁骨折伴腘动脉血栓形成的病例,并采用动脉内溶栓治疗。结论:钝性膝外伤导致胫骨平台骨折并伴有神经功能缺损和膝后积血,提示创伤强度高,腘动脉血栓形成虽然是一种罕见的并发症,但应通过影像学技术怀疑并排除。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Popliteal Artery Injury Associated with Proximal Tibia Fracture: A Case Report.

Introduction: 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.

Case report: 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.

Conclusion: 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.

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