[Entrapment of the anterior tibial artery in a distal tibial fracture after intramedullary nailing]
| Autor: | L, Labler, V, Wedler, L, Mica, O, Trentz |
|---|---|
| Jazyk: | němčina |
| Rok vydání: | 2006 |
| Předmět: |
Male
Reoperation Anastomosis Surgical Angiography Arterial Occlusive Diseases Forefoot Human Compartment Syndromes Surgical Flaps Fracture Fixation Intramedullary Tibial Arteries Tibial Fractures Fracture Fixation Internal Postoperative Complications Debridement Humans Ankle Injuries Foot Injuries Aged |
| Zdroj: | Der Unfallchirurg. 109(2) |
| ISSN: | 0177-5537 |
| Popis: | 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 intra-operatively during the preparation of the anterior tibial vessel. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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