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首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >Pseudoaneurysm of the posterior tibial artery after manipulation under anesthesia of a total ankle replacement
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Pseudoaneurysm of the posterior tibial artery after manipulation under anesthesia of a total ankle replacement

机译：在全踝置换麻醉下操作后胫骨后动脉假性动脉瘤

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摘要

Although pseudoaneurysm of the posterior tibial artery has been reported, no investigators have discussed the development of a pseudoaneurysm after manipulation under anesthesia of a total ankle replacement. We present the case of a 59-year-old female with end-stage post-traumatic tibiotalar joint disease who underwent an uneventful INBONE? Total Ankle Replacement. She experienced continued postoperative pain and impingement after physical therapy. Consequently, she underwent manipulation under anesthesia. The manipulation provided complete and immediate pain relief. However, she developed a pseudoaneurysm of the posterior tibial artery that required vascular repair. She recovered uneventfully and was ambulating free of pain with improved functionality. Although manipulation under anesthesia of a total ankle replacement is a valuable, noninvasive tool that can provide near-immediate pain relief, it is important to realize that this distal arterial injury, although uncommon, is a possibility.
机译：尽管已经报道了胫后动脉假性动脉瘤，但尚无研究者讨论在全踝置换麻醉下进行手术后假性动脉瘤的发展。我们介绍了一名59岁女性，患有创伤后的胫距距关节疾病，该患者接受了INBONE的检查？全踝关节置换。物理治疗后，她经历了持续的术后疼痛和撞击。因此，她在麻醉下进行了操作。该操作可立即彻底缓解疼痛。但是，她发生了胫骨后动脉的假性动脉瘤，需要进行血管修复。她恢复得很好，并且走动起来没有痛苦，功能得到了改善。尽管在麻醉下进行全踝关节置换术是一种有价值的，无创的工具，可以提供近乎即时的止痛效果，但重要的是要认识到这种远端动脉损伤虽然不常见，但却是有可能的。

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