Vascular Injury Associated with Blunt Trauma without Dislocation of the Knee
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Failure to recognize popliteal artery injury and restore vessel continuity of flow after blunt trauma is a major cause of lower extremity amputation and morbidity. A high index of suspicion and early recognition of the injury are paramount for limb salvage. We experienced a rare case of poplitial artery occlusion with the presence of arterial pulses due to collateral circulation after blunt trauma. Expeditious revascularization was achieved by using posterior approach, allowing two surgical teams to work simultaneously. This case illustrates that, even in the absence of knee dislocation, surgeons must always consider the possibility of a popliteal artery damage whenever a blunt trauma near the knee.
Abstract
Failure to recognize popliteal artery injury and restore vessel continuity of flow after blunt trauma is a major cause of lower extremity amputation and morbidity. A high index of suspicion and early recognition of the injury are paramount for limb salvage. We experienced a rare case of poplitial artery occlusion with the presence of arterial pulses due to collateral circulation after blunt trauma. Expeditious revascularization was achieved by using posterior approach, allowing two surgical teams to work simultaneously. This case illustrates that, even in the absence of knee dislocation, surgeons must always consider the possibility of a popliteal artery damage whenever a blunt trauma near the knee.
참고문헌 (8)
- Varnell RM, "Arterial injury complicating knee disruption. Third place winner:Conrad Jobst award", Am Surg, 55, pp.699~704 (1989)
- Wagner WH, "Blunt popliteal artery trauma: one hundred consecutive injuries", J Vasc Surg, 7, pp.736~743 (1988)
- Kirby L, "Recanalization of an occluded popliteal artery following posterior knee dislocation", Ann Vasc Surg, 13, pp.622~624 (1999)
- Chapman JA, "Popliteal artery damage in closed injuries of the knee", J Bone Joint Surg Br, 67, pp.420~423 (1985)
- Drapanas T, "Civilian vascular injuries: a critical appraisal of three decades of management", Ann Surg, 172, pp.351~360 (1970)
- Hollis JD, "10-year review of knee dislocations: is arteriography always necessary?", J Trauma, 59, pp.672~675 (2005)
- Welling RE, "Complete dislocations of the knee with popliteal vascular injury", J Trauma, 21, pp.450~453 (1981)
- Twaddle BC, "MRI in acute knee dislocation. A prospective study of clinical, MRI, and surgical findings", J Bone Joint Surg Br, 78, pp.573~579 (1996)