PMID: 8614039Apr 1, 1996Paper

Lower limb trauma with injury to the popliteal vessels

The Journal of Trauma
R PrêtreB Faidutti

Abstract

A retrospective analysis of blunt trauma to the lower extremity with injury to the popliteal vessels was undertaken in an attempt to determine the major predictors of outcome and to expose the shortcomings of our management. Thirty-one patients with lower extremity trauma including a popliteal artery injury were admitted to our clinic between 1979 and 1993. Two patients died of hemorrhagic shock or from associated lesions. Amputation of the leg was performed primarily in one patient because of massive tissue damage and secondarily in five patients because of uncontrolled local infection (two patients), excessive tissue damage (two patients), and persistent ischemia (one patient who later died). A peripheral neurologic deficit resulted in 12 of 24 non-amputated extremities. Three additional patients suffered sequelae from bone and joint damage. In all, nine patients recovered completely from their limb injury. Severe ischemia of the leg was found to be an indicator of major limb damage and was a strong determinant of poor outcome. Of 18 patients with severe ischemia, two died (one after amputation), five were amputated, and eight were left with a peripheral neuropathy. Only two patients recovered completely. Of 13 patients with ...Continue Reading

References

May 1, 1990·The Journal of Trauma·K JohansenS T Hansen
Dec 1, 1989·European Journal of Vascular Surgery·A A Barros D'Sa
May 1, 1988·Journal of Vascular Surgery·W H WagnerA E Yellin
Aug 1, 1985·The Journal of Trauma·D M ShahA M Karmody
Nov 1, 1980·Archives of Surgery·L T LimA Pankovich
Jan 1, 1993·The Journal of Trauma·F BonanniJ F Lucke

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Citations

May 3, 2000·The British Journal of Surgery·R NairJ V Robbs
Aug 12, 2009·The Journal of Trauma·Rachael A CallcutMatthew W Mell
Aug 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J D SciarrettaJuan A Asensio-Gonzalez
Mar 25, 2008·Journal of Pediatric Surgery·Edward B LineenJuan E Sola
Sep 24, 2005·ANZ Journal of Surgery·Mazri M YahyaKishore Sieunarine
Mar 22, 2002·The Surgical Clinics of North America·Eric R Frykberg
Jan 11, 2007·Journal of Vascular Surgery·John D Hutto, Amy B Reed
May 16, 2006·The International Journal of Lower Extremity Wounds·K RerkasemK Thepmalai
Oct 4, 2020·The Journal of Trauma and Acute Care Surgery·Leslie KobayashiFederico Coccolini

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