Civilian popliteal artery injuries.

@article{Banderker2012CivilianPA,
  title={Civilian popliteal artery injuries.},
  author={Mohammed Asif Banderker and Pradeep H Navsaria and Sorin Edu and Wanda Bekker and Andrew John Nicol and Nadraj G Naidoo},
  journal={South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie},
  year={2012},
  volume={50 4},
  pages={
          119-23
        }
}
BACKGROUND Civilian popliteal artery injuries are associated with significant amputation rates. AIM The aim of this study was to identify factors associated with limb loss in patients with popliteal artery injuries. PATIENTS AND METHODS We performed a retrospective chart review of prospectively collected data on patients with popliteal artery injuries presenting to the Trauma Centre at Groote Schuur Hospital, Cape Town, from 1 January 1999 to 31 December 2008. Demographic data, mechanism of… 
AMPUTATION RATE FOLLOWING TIBIAL FRACTURES WITH ASSOCIATED POPLITEAL ARTERY INJURIES
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Predictors of amputation remain elusive; however, results suggest that initial presentation of a threatened limb in the context of a tibial fracture may necessitate intervention within the first 2 hours of presentation in order to improve the outcome.
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Motorcycle accidents and trap guns were the leading cause of PA injury and concomitant popliteal venous injury, which is common after trap gun injury, had significant association with poor outcome.
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TLDR
Blunt vascular injury is uncommon in the patient with multiple trauma but confers substantial morbidity and mortality, in those cases with peripheral injuries, delays in referral to definitive care frequently exceed the ischaemic time, resulting in a high rate of amputations.
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TLDR
A 30-year-old male patient with popliteal artery injury, who had diagnosed 20 hours after internal fixation of the femoral fracture, successfully underwent arterial repair.
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TLDR
Popliteal artery injury is associated with high energy injury, including knee dislocation and complex tibial plateau fractures or supracondylar femur fractures and failure to revascularize within 6–8 hours results in an unacceptably high amputation rate.
Popliteal Artery Thrombosis After Open Reduction and Internal Fixation of the Patella: A Case Report
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High suspicion must be maintained for acute thromboembolic events in patients with a history of such events, especially in men presenting with a right patellar fracture after a motor-vehicle accident.
Trauma, a preventable burden of disease in South Africa : review of the evidence, with a focus on KwaZulu-Natal
TLDR
The authors highlight the need for prevention programmes and draw attention to the cost implications of trauma care, noting the cost-benefit ratio of good trauma care compared with the litigation risk to government when such care cannot be provided.

References

SHOWING 1-10 OF 31 REFERENCES
Impact of intraoperative arteriography on limb salvage for traumatic popliteal artery injury.
TLDR
For popliteal artery injuries, diagnostic arteriography in the operating room reduces the likelihood of amputation by decreasing time to initiating repair and thereby limiting limb ischemia.
Improved limb salvage in popliteal artery injuries.
TLDR
The major factor in the amputated limbs was delay in diagnosis and therapy of the arterial injury associated with blunt trauma, and arterial disruption secondary to penetrating injuries was recognized more quickly and had a better outcome.
Popliteal artery trauma: A high risk injury
TLDR
The clinical presentation and management of 28 popliteal artery injuries following penetrating and blunt trauma during a 6 year period is reviewed and the significant functional orthopaedic disability following blunt arterial trauma at the knee is emphasized.
Management of high-risk popliteal vascular blunt trauma: clinical experience with 62 cases
TLDR
Exeditious recognition of vascular injury, transport to repair, and repair of associated venous injury when possible are necessary to optimize limb salvage in patients with high-risk popliteal vascular injuries.
Popliteal artery trauma. 31 consecutive cases without amputation.
TLDR
The use of interposition saphenous vein graft in the arterial reconstruction, repair of concomitant popliteal vein injuries, initial bone fixation of fractures with external fixators, and the performance of intraoperative arteriography were all important steps taken to ensure a 100% limb salvage.
Penetrating injuries of the popliteal artery: the Baragwanath experience.
TLDR
The management of 43 patients with penetrating injury of the popliteal artery showed no difference in the short-term patency of autologous saphenous vein graft as against PTFE grafts, and definitive orthopaedic management of associated fractures followed vascular reconstruction.
Vascular injury about the knee. Improved outcome.
TLDR
Successful management correlates best with prompt repair of both popliteal arterial and venous injuries and early fasciotomy and is associated with better long-term results.
Popliteal artery trauma. Systemic anticoagulation and intraoperative thrombolysis improves limb salvage.
TLDR
Minimizing ischemia is an important factor in maximizing limb salvage and the authors recommend the use of systemic heparin or local urokinase or both to maximize limb salvage in association with repair of popliteal artery injuries.
Popliteal and infrapopliteal arterial injuries. Differential management and amputation rates.
TLDR
A management protocol for patients with distal ischemia related to popliteal or infrapopliteal arterial trauma should include prompt surgical intervention, liberal use of fasciotomy, intraoperative arteriography, as well as the selective use of intraluminal shunts.
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