Entrapment of the anterior tibial artery in a distal tibial fracture after intramedullary nailing

被引：0
作者：
Labler L. [1 ,4 ]
Wedler V. [2 ]
Mica L. [3 ]
Trentz O. [1 ]
机构：
[1] Departement Chirurgie, Universitätsspital Zürich
[2] Klinik für Plastische- und Wiederherstellungschirurgie, Universitätsspital Zürich
[3] Klinik für Unfallchirurgie, Universitätsspital Zürich
[4] Klinik für Unfallchirurgie, Universitätsspital Zürich, 8091 Zürich
来源：
Der Unfallchirurg | 2006年 / 109卷 / 2期
关键词：
Artery; Entrapment; Fracture; Internal fixation; Tibia;
D O I：
10.1007/s00113-005-1033-x
中图分类号：
学科分类号：
摘要：
We present a patient with a closed displaced distal tibia fracture with entrapment of the anterior tibial vessels in the fracture after tibial nailing. This complication was initially not recognised. After several debridements of the forefoot on the same side due to open metatarsal fractures and severe soft tissue injury, a free latissimus dorsi flap was used for covering the dorsum pedis. Preoperative angiography showed occlusion of the anterior tibial artery at the fracture line which was interpreted as a secondary occlusion due to an intima lesion of the vessel after injury. The entrapment in the fracture line was recognised intraoperativelly during the preparation of the anterior tibial vessel. © Springer Medizin Verlag 2006.
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页码：156 / 159
页数：3
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