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Pseudoaneurysm Formation due to Popliteal Artery Injury Caused by Drilling during Medial Opening Wedge High Tibial Osteotomy
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논문 기본 정보

Type
Academic journal
Author
Journal
대한슬관절학회 Knee Surgery and Related Research Knee Surgery and Related Research 제30권 제4호 KCI Accredited Journals
Published
2018.1
Pages
364 - 368 (5page)

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Pseudoaneurysm Formation due to Popliteal Artery Injury Caused by Drilling during Medial Opening Wedge High Tibial Osteotomy
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We report a case of 53­year­old woman with an injured popliteal artery due to excessive drilling with a drill bit during medial opening wedge high tibial osteotomy (MOWHTO). Pseudoaneurysm was diagnosed three days after surgery and confirmed by urgent computed tomography (CT) angiography. Open vascular surgery with resection of the perivascular hematoma and end­to­end anastomosis using ipsilateral saphenous vein interposition graft was performed. CT angiography at 8 months postoperatively showed that blood flow was maintained without obstruction of the graft site and active dorsiflexion of the foot was possible. To reduce neurovascular injury during MOWHTO, it is important not to drill the far cortex at the proximal part of the osteotomy site when using a drill bit, and the metal should be positioned posteromedially as much as possible.

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References (10)

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Han SB / 2013 / A"safe zone"in medial open-wedge high tibia osteotomy to prevent lateral cortex fracture / Knee Surg Sports Traumatol Arthrosc 21:90~95 google schola Sawant MR / 2001 / Pseudo-aneurysm of the anterior tibial artery complicating high tibial osteotomy : a case report / Knee 8:247~248 google schola Attinger MC / 2014 / Complete rupture of the popliteal artery complicating high tibial osteotomy / J Orthop 11:192~196 google schola Bernhoff K / 2015 / Iatrogenic popliteal artery injury in non arthroplasty knee surgery / Bone Joint J 97:192~196 google schola Georgoulis AD / 1999 / Nerve and vessel injuries during high tibial osteotomy combined with distal fibular osteotomy : a clinically relevant anatomic study / Knee Surg Sports Traumatol Arthrosc 7:15~19 google schola

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