Outcome predictors of limb salvage in traumatic popliteal artery injury

Annals of Vascular Surgery
Anahita DuaSheila Coogan

Abstract

Significantly reduced amputation rates for traumatic popliteal artery injuries have been achieved with improved revascularization and resuscitative techniques. Predictive scores have failed to accurately predict outcomes in patients who sustain popliteal artery damage. This study aimed to identify predictors of limb salvage in a civilian cohort after popliteal artery trauma. A single-institution, retrospective review was performed of all patients with popliteal artery trauma presenting between January 2002 and June 2009. Data were compiled using the institutional trauma registry, with demographics, mechanism of injury, associated injury, fasciotomy, Mangled Extremity Severity Score (MESS), and Injury Severity Score (ISS) all documented. Statistical analysis included descriptive statistics, univariate analysis, and multiple exact logistic regression. Seventy traumatic popliteal artery injuries were identified in 68 patients with a mean age of 33 years (range: 5-88 years). The majority of patients were male (n = 57; 81%), and 73% sustained blunt injury. Associated venous injury was present in 16 (23%) cases. Associated orthopedic injuries included 19 (27%) dislocations and 49 (70%) fractures. The median MESS was 5 (range: 2-9) an...Continue Reading

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Citations

Apr 14, 2016·Revista Brasileira De Ortopedia·Frederico Carlos Jaña NetoRobson Alves
Oct 21, 2016·Journal of Vascular Surgery·Caitlin W HicksMahmoud B Malas
Mar 22, 2016·Annals of Vascular Surgery·Jessica KeeleyDennis Y Kim
Mar 12, 2015·Journal of Vascular Surgery·Nikolaus W LangPatrick Platzer
Jul 17, 2016·Annals of Vascular Surgery·Michael J Ramdass, Patrick Harnarayan
Sep 18, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K BernhoffE Jangland
Jan 28, 2014·Journal of Vascular Surgery·Anahita DuaCharles J Fox
Oct 30, 2016·JBJS Reviews·Jessica C RiveraMary Jo Pugh
Sep 3, 2016·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Shan ZhongDeming Qi
Aug 27, 2015·The Journal of Trauma and Acute Care Surgery·Kaj Johansen, Sigvard T Hansen
Dec 6, 2019·The Journal of Trauma and Acute Care Surgery·Louis J MagnottiMartin A Croce
Feb 18, 2020·JACC. Cardiovascular Interventions·Nariko IkemuraTakahisa Sawada
Feb 28, 2021·Journal of Vascular Surgery·Leigh Ann O'BanionGregory A Magee
Mar 21, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Dennis HundersmarckMarilyn Heng

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