Blunt Tibial Artery Trauma

McNutt, Richard; Seabrook, Gary R.; Schmitt, David D.; Aprahamian, Charles; Bandyk, Dennis F.; Towne, Jonathan B.

doi:10.1097/00005373-198912000-00005

Cited by 33 publications

(3 citation statements)

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“…Of these, 6 (35%) resulted in subsequent amputations, 3 for nonviable crushed muscle, and 3 for severe soft-tissue wound infection. 4 In another similar series of 18 patients with blunt tibial fractures and concomitant tibial artery injuries, 3 required amputations for extensive soft-tissue damage, 9 fractures were severely comminuted, and 5 required revascularization. 5 Most tibial fractures are not associated with severe comminution or soft-tissue injury.…”

Section: Discussionmentioning

confidence: 98%

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Infrapopliteal Arterial Pseudoaneurysm Development Secondary to Blunt Trauma: Case Series and Literature Review

Chrencik

Caraballo

Yokemick

et al. 2020

Vasc Endovascular Surg

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Objectives: Infrapopliteal arterial pseudoaneurysms (IAP) following blunt trauma with associated orthopedic injuries are uncommon, often present in a delayed fashion, and encompass a diagnostic and therapeutic dilemma. Herein, we present a series of IAPs that were diagnosed following blunt trauma and their management. Methods: Case series consisting of 3 patients and a review of the international literature. Results: Our case series included 3 patients presenting with IAPs following blunt trauma with associated orthopedic injuries. They were all identified in a delayed manner (>3 weeks) after the orthopedic injuries were treated. All patients presented with pain and a pulsatile mass while one concurrently had neurologic deficits. The pseudoaneurysms were diagnosed by duplex ultrasound and confirmed by angiography to be originating from the tibioperoneal trunk, anterior tibial, and posterior tibial arteries respectively. Two patients were treated with surgical excision. Of these, one required an arterial bypass procedure while the other underwent direct ligation only. The third patient was treated by endovascular coiling. A literature review from 1950 to the present found 51 reported cases of IAP resulting from blunt trauma. Ninety percent of trauma-related infrapopliteal injuries occurred in men with a mean delay in diagnosis of 5.6 months (median 1.8 months) after injury. Since 1950, management has shifted from primarily ligation to incorporating minimally invasive endovascular techniques when appropriate. Conclusions: Infrapopliteal artery pseudoaneurysms are rare following blunt skeletal trauma. A delay in diagnosis often occurs and can result in major morbidity and extensive surgical intervention. We recommend a high index of suspicion and a thorough vascular examination in patients with lower extremity skeletal trauma to help identify and treat these injuries early and effectively.

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Section: Discussionmentioning

confidence: 98%

“…In such instances, angiography is usually performed and it confirms the diagnosis and guides appropriate management. 4,5 In the absence of a severe crush injury, associated arterial injury is infrequent and often missed. When it does occur, it often presents in a delayed fashion with potential limbthreatening complications.…”

Section: Introductionmentioning

confidence: 99%

Infrapopliteal Arterial Pseudoaneurysm Development Secondary to Blunt Trauma: Case Series and Literature Review

Chrencik

Caraballo

Yokemick

et al. 2020

Vasc Endovascular Surg

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“…2 Most common symptoms at the time of diagnosis was swelling, pain, and bleeding. 3 Herald bleed usually harbinger torrential threatening bleeds. 4 When such herald bleeds occur, the history should be revisited and the vascular injury and sequel should be investigated.…”

mentioning

confidence: 99%

Neglected Infected Post-traumatic Pseudoaneurysms of Anterior Tibial Artery: A Case Report and the Lessons Learnt

Venkatramani

Periasamy

Muthukumar

et al. 2022

Indian J Plast Surg

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Functional outcome of patients with salvageable limbs with grades III-B and III-C open fractures of the tibia

et al. 1996

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Numerous reports list predictive criteria to determine whether Gustilio-type tibial III-B and III-C fractures of the tibia are salvageable. What is lacking are long-term reports of comprehensive functional outcome of these severe injuries. We evaluated the functional outcome of patients with our own seven-scale score. Fifty-four patients with 57 types III-B (n = 41) and III-C (n = 16) open tibial fractures sustained between 1980 and 1989 were recalled for evaluation. There were 45 men and 9 women (average age, 28.4 years; range, 4-68 years). Follow-up periods averaged 48.2 months (range, 12-116 months). Salvage rate for the III-B fractures was 75% (n = 31) and for the III-C fractures 37% (n = 6). We conclude that the functional score is a simple and complete method for assessing the functional outcome of patients undergoing limb salvage procedures.

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Blunt Tibial Artery Trauma

Cited by 33 publications

References 0 publications

Infrapopliteal Arterial Pseudoaneurysm Development Secondary to Blunt Trauma: Case Series and Literature Review

Infrapopliteal Arterial Pseudoaneurysm Development Secondary to Blunt Trauma: Case Series and Literature Review

Neglected Infected Post-traumatic Pseudoaneurysms of Anterior Tibial Artery: A Case Report and the Lessons Learnt

Functional outcome of patients with salvageable limbs with grades III-B and III-C open fractures of the tibia

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