J Korean Surgery Hand Soc Search

CLOSE


Journal of the Korean Society for Surgery of the Hand 2008;17(1):7-13.
Published online May 31, 2008.
Revascularization of Popliteal Artery Injury in Trauma Around Knee Joint
Soo-Hong Han, Dong-Eun Shin, Jin-Myung Dan*, Chul Kim
1Department of Orthopaedic Surgery, Bundang CHA Hospital, College of Medicine, Pochon CHA University, Seongnam, Korea. hsoohong@hanmail.net
2Department of Orthopaedic Surgery, Kumi CHA Hospital, Kumi, Korea.
슬관절주위 외상에 의한 슬와동맥 손상의 재혈관화
, , ,
1
2
Abstract
Popliteal artery injury in blunt trauma of knee joint is not common but poses high rate of amputation due to anatomical characteristics or delayed diagnosis and treatment. The aim of the present study is to review the authors’ experiences with this condition and identify factors contributing to disability. We reviewed 7 cases of popliteal artery injury in trauma around knee. Injury mechanism, type of vessel damage, associated injuries, mangled extremity severity scores (MESS), ischemic time and additional treatments were analyzed. Tibial fracture, distal femoral fracture and serious soft tissue defect were combined. Mean MESS was 9.9 point and mean time of revascularization was 7.1 hours. Transfemoral amputation was performed in 2 cases due to vascular insufficiency and devastating infection, and 4 patients were able to walk without any support at the last follow up. Age, the severity of soft tissue injury, ischemic time and MESS are thought to be related to prognosis, and young patients with short ischemic time show best results, but authors experienced one exceptional case. We have to consider multiple factors related to the prognosis in popliteal artery injury with fractures around knee, and careful decision is needed regarding to early amputation.
Key Words: Popliteal artery injury, Revascularization
 
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 799 View
  • 3 Download
Related articles in Arch Hand Microsurg


About
Article and topics
Article category

Browse all articles >

Topics

Browse all articles >

Browse articles
Editorial policies
For contributors
Editorial Office
St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Ji-dong, Paldal-gu, Suwon 16247, Korea
Tel: +82-31-249-7186    Fax: +82-31-254-7186    E-mail: journal@handmicro.org                

Copyright © 2024 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve.

Developed in M2PI

Close layer
prev next