Popliteal artery repair in massively transfused military trauma casualties: a pursuit to save life and limb

The Journal of Trauma
Charles J FoxJames R Ficke

Abstract

Popliteal artery war wounds can bleed severely and historically have high rates of amputation associated with ligation (72%) and repair (32%). More than before, casualties are now surviving the initial medical evacuation and presenting with severely injured limbs that prompt immediate limb salvage decisions in the midst of life-saving maneuvers. A modern analysis of current results may show important changes because previous limb salvage strategies were limited by the resuscitation and surgical techniques of their eras. Because exact comparisons between wars are difficult, the objective of this study was to calculate a worst-case (a pulseless, fractured limb with massive hemorrhage from popliteal artery injury) amputation-free survival rate for the most severely wounded soldiers undergoing immediate reconstruction to save both life and limb. We performed a retrospective study of trauma casualties admitted to the combat support hospital at Ibn Sina Hospital in Baghdad, Iraq, between 2003 and 2007. US military casualties requiring a massive transfusion (> or = 10 blood units transfused within 24 hours of injury) were identified. We extracted data on the subset of casualties with a penetrating supra or infrageniculate popliteal ar...Continue Reading

References

Apr 11, 1976·Annals of Surgery·N M RichC A Andersen
May 1, 1990·The Journal of Trauma·K JohansenS T Hansen
Jan 1, 1985·The Journal of Trauma·D V FelicianoC G Bitondo
Feb 1, 1969·Archives of Surgery·J F Gorman
Oct 1, 1969·American Journal of Surgery·N M RichC W Hughes
Mar 22, 2002·The Surgical Clinics of North America·Norman M Rich
Apr 17, 2002·The Journal of Trauma·Ellen J MacKenzieUNKNOWN LEAP Study Group
Sep 5, 2003·The Journal of Bone and Joint Surgery. American Volume·Melissa L McCarthyUNKNOWN LEAP study group
May 12, 2004·American Journal of Surgery·Alec C Beekley, David M Watts
Mar 2, 2006·The Journal of Trauma·John B HolcombRonald F Bellamy
Mar 2, 2006·The Journal of Trauma·Benjamin W StarnesRobert M Rush
May 2, 2006·American Journal of Surgery·Zachary ArthursAlec Beekley
Oct 25, 2006·Perspectives in Vascular Surgery and Endovascular Therapy·Todd E RasmussenDavid L Smith
May 25, 2007·Annals of Surgery·John B HolcombFrank K Butler
Dec 20, 2007·The Journal of Trauma·Lynn G StansburySteven J Lalliss
Jan 8, 2008·Journal of Orthopaedic Trauma·Lynn G StansburyJohn B Holcomb
Apr 11, 2008·The Journal of Trauma·Daniel F McLaughlinJohn B Holcomb
Apr 15, 2008·Journal of Vascular Surgery·E Baylor WoodwardTodd E Rasmussen
Jun 27, 2008·The Journal of Trauma·Charles J FoxJohn B Holcomb
Aug 5, 2008·The Journal of Bone and Joint Surgery. American Volume·Thuan V LyUNKNOWN LEAP Study Group
Nov 29, 2008·Journal of Vascular Surgery·Owen N JohnsonCharles J Fox
Dec 25, 2008·Annals of Surgery·John F KraghJohn B Holcomb
Jun 12, 2009·The Journal of Trauma·Kate V BrownJ C Clasper
Jul 28, 2009·Journal of the American College of Surgeons·Daniel J RiskinSusan I Brundage
Mar 1, 1946·Bulletin of the U.S. Army Medical Department·M E DeBAKEY, F A SIMEONE

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Citations

Jul 9, 2013·Journal of Clinical Monitoring and Computing·Michael BodoStephen W Rothwell
Jun 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A F GarcíaJ C Puyana
Aug 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J D SciarrettaJuan A Asensio-Gonzalez
Feb 23, 2013·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Marcus E Carr, Brian Vickaryous
Jan 28, 2014·Journal of Vascular Surgery·Anahita DuaCharles J Fox
Dec 18, 2013·Annals of Vascular Surgery·Anahita DuaSheila M Coogan
Mar 20, 2016·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Timothy K Williams, W Darrin Clouse
Sep 17, 2015·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·D A BackUNKNOWN AG Chirurgische Forschung der Bundeswehr
May 23, 2018·The Journal of Trauma and Acute Care Surgery·Zane B PerkinsTodd E Rasmussen
Jul 19, 2018·The Journal of Trauma and Acute Care Surgery·David S KauvarThomas J Walters
Dec 7, 2013·World Journal of Emergency Surgery : WJES·Antonio KrügerDietrich Doll
Sep 20, 2011·The Journal of Trauma·Clinton K MurrayUNKNOWN Prevention of Combat-Related Infections Guidelines Panel
Aug 2, 2013·The Journal of Trauma and Acute Care Surgery·Ted MelcerMichael Galarneau
Apr 3, 2019·The Journal of Trauma and Acute Care Surgery·Thomas J WaltersKathy L Ryan
Jan 12, 2019·The Journal of Trauma and Acute Care Surgery·Sarah B ThomasDavid S Kauvar
Jun 28, 2019·The Journal of Trauma and Acute Care Surgery·David S KauvarThomas J Walters
Jun 28, 2019·The Journal of Trauma and Acute Care Surgery·Thomas J WaltersKathy L Ryan
Nov 21, 2020·The Journal of Surgical Research·Amila RatnayakeTamara J Worlton

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