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논문 기본 정보

자료유형
학술저널
저자정보
Byung-Chan Choi (Department of Orthopaedic Surgery Keimyung University Dongsan Hospital Keimyung University School o) Byung-Woo Min (Department of Orthopedic Surgery Dongsan Medical Center Keimyung University School of Medicine Daeg) Kyung-Jae Lee (Department of Orthopedic Surgery Dongsan Hospital Keimyung University School of Medicine)
저널정보
대한고관절학회 Hip and Pelvis Hip and Pelvis 제34권 제4호
발행연도
2022.12
수록면
262 - 268 (7page)

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A fracture of the affected extremity in patients with Klippel–Trenaunay–Weber syndrome can be fatal due to massive bleeding and show poor results. A 42-year-old male presented with an old fracture of the right femoral shaft with metal failure. We planned an operation to remove the previously fixed plate and to perform re-fixation using an intra-medullary nail. Preoperative angiography was performed and the arteriovenous malformations were embolized in order to reduce the risk of bleeding. After angiography, the previously fixed plate was removed. After the operation, a second angiography was performed immediately and the venous malformation was embolized. One week after the first operation, a second operation was performed in order to reduce the fracture and to per form re-fixation using an intramedullary nail. The patient is being followed without major complication over a period of seven years after surgery. We recommend careful planning of preoperative and postoperative angiogra phy and embolization in order to reduce the risk of bleeding in patients with Klippel–Trenaunay–Weber syn drome.

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