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KMID : 0361620150500050418
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Journal of the Korean Orthopaedic Association
2015 Volume.50 No. 5 p.418 ~ p.423
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Delayed Onset of the Popliteal Artery Pseudoaneurysm Following Medial Opening Wedge High Tibial Osteotomy
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임해성:Lim Hae-Seong
김상민:Kim Sang-Min/김종관:Kim Chong-Kwan
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Abstract
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High tibial osteotomy is an established method in treatment of medial knee osteoarthritis with varus deformity in younger patients. The popliteal artery is vulnerable to injury during surgeries performed around the knee joint. Pseudoaneurysm of the popliteal artery following medial opening wedge high tibial osteotomy is rare. A femoral angiogram revealed a pseudoaneurysm arising from the popliteal artery near the osteotomy site. Careful placement of retractors around the osteotomy site during sawing and flexing the knee to displace the popliteal artery away are recommended to prevent this complication. We report on the case of a pseudoaneurysm of the popliteal artery complicating medial opening wedge high tibial osteotomy that was treated clinically and radio-graphically with literature reviews.
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KEYWORD
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popliteal artery, pseudoaneurysm, genu varum, angiography, osteotomy
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