PDF(Pubmed)
Abstract：
One of the risks of distraction osteogenesis-based techniques is the development of vascular complications, such as pseudoaneurysms associated with the osteotomies performed or the fixation elements of the external fixator used in the procedure. Pseudoaneurysm are formed when the tunica adventitia of the artery is injured, resulting in a gradual and persistent blood extravasation into the surrounding tissues that is encapsulated and connected to the arterial lumen. This report describes a rare case of a late-presentation pseudoaneurysm in the anterior tibial artery resulting from a tibial lengthening procedure aimed at addressing a leg length discrepancy in a 57-year-old female with severe peripheral neuropathy resulting from long-standing poorly controlled diabetes mellitus. We describe the diagnostic process, the treatment options and confirm how the shape of the bony callus can be a reliable indicator of this pathology, as has already been described in the literature.
摘要：
牵张成骨技术的风险之一是血管并发症的发展，例如与所进行的截骨术相关的假性动脉瘤或手术中使用的外部固定器的固定元件。假性动脉瘤是在动脉外膜损伤时形成的,导致逐渐和持续的血液外渗到被封装并连接到动脉腔的周围组织中。本报告描述了一例罕见的胫骨前动脉晚期假性动脉瘤，这是由于胫骨延长手术所致，目的是解决一名57岁女性的腿部长度差异，该女性患有长期控制不良导致的严重周围神经病变糖尿病。我们描述了诊断过程，治疗方案，并确认骨痂的形状如何成为这种病理的可靠指标，正如文献中已经描述的那样。
