Radial fiber fragment detection during radiological diagnostics of a knee
https://doi.org/10.21518/akh2025-027
Abstract
This clinical case demonstrates the detection of the radial fiber fragment in subcutaneous fat of the upper calf during radiological diagnostics of the knee 8 years after endovenous laser ablation of the great saphenous vein. Due to moderate discomfort in this area, the encapsulated fragment was removed from a small incision without subsequent complications. The rarity of the incident and, more importantly, the radiographic picture determined interest and the relevance of the publication. The accumulated experience and the current case allow us to recommend obligatory intraoperative elimination of fragments due to possible local pain or, at least, ligation of the vein above the fragmentation for prevention of potential material embolism and subsequent observation and appropriate decision-making. The clinics regulations of endovenous laser ablation must prescribe a precise inspection of the integrity of the fibers both before and after the intervention.
About the Authors
D. A. Borsuk
South-Ural State Medical University;
Kazakhstan-Russian Medical University
Kazakhstan
Kazakhstan
Denis A. Borsuk, Dr. Sci. (Med.), Assistant of the Department of Surgery, Institute of Continuing Professional Education, 64, Vorovsky St., Chelyabinsk, 454141;
Professor, 51/53, Abylay Khan St., Almaty, 050004
R. A. Tauraginskii
Phlebocenter Kaliningrad LLC
Russian Federation
Russian Federation
Roman A. Tauraginskii, Vascular Surgeon of Research Laboratory of Venous Hemodynamics,
51, Frunze St., Kaliningrad, 236016
A. A. Fokin
South-Ural State Medical University
Russian Federation
Russian Federation
Alexey A. Fokin, Dr. Sci. (Med.), Professor, Head of the Department of Surgery, Institute of Continuing Professional Education,
64, Vorovsky St., Chelyabinsk, 454141
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For citations:
Borsuk D.A., Tauraginskii R.A., Fokin A.A. Radial fiber fragment detection during radiological diagnostics of a knee. Ambulatornaya khirurgiya = Ambulatory Surgery (Russia). 2025;22(1):213-218. (In Russ.) https://doi.org/10.21518/akh2025-027
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