Knee dislocation with popliteal artery disruption: A nationwide analysis from 2005 to 2013

Naziri, Qais; Beyer, George A.; Shah, Neil V.; Solow, Maximillian; Hayden, Andrew J.; Nadarajah, Vidushan; Ho, Derek J.; Newman, Jared M.; Boylan, Matthew R.; Basu, Niladri; Zikria, Bashir A.; Urban, William P.

doi:10.1016/j.jor.2018.08.006

Cited by 8 publications

(2 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although we improved treatments for concomitant injuries, better surgical techniques and multidisciplinary intervention, patients had a higher rate of surgical complications. In a retrospective study of 2175 patients in nationwide US inpatient database [ 29 ], patients with concomitant popliteal injury were also more likely to experience secondary complications, experience longer hospital stays and incur greater healthcare costs. The development of gastrocnemius necrosis after PAI has been described frequently in many studies due to severe trauma of gastrocnemius or no revascularization of the gastrocnemius artery [ 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Five-year outcomes of trauma-specific function in patients after acute blunt popliteal artery injury: a matched cohort analysis

Liu

Zhou

2022

J Orthop Surg Res

View full text Add to dashboard Cite

Background Few studies focus on the trauma-specific functional outcomes after surgical revascularization and risk factors contributing to poor outcomes in patients with acute blunt popliteal artery injury (PAI). The objective of this study was to investigate the long-term trauma-specific functional outcomes in patients with acute blunt PAI and identify the associated risk factors. Methods There were 36 patients with acute blunt PAI who require surgical revascularization at a national trauma center of West China Hospital of Sichuan University between March 2010 and April 2019. After propensity matching, each patient was matched to one patient who did not have a concomitant vascular injury in control cohort. Functional outcomes were assessed with trauma-specific functional scores, physical examination of range of motion, nerve functional status and knee stability. A logistics regression model was established to determine the independent risk factors. Results The 5-year (range 2–10 years) follow-up showed that 22 patients (22/36, 61.1%) had functional deficit due to limited activity or chronic neurological symptoms. Patients in vascular cohort had significantly decreased FIM score and AHFS score compared with matched patients without vascular involvement (P = 0.003 and P < 0.001), whereas there was no statistically significant difference in KSS (P = 0.136). Spearman correlation analysis of functional scores in vascular cohort showed that the FIM score was positively correlated with AHFS score (r = 0.926, P < 0.001), but not correlated with the KSS (r = − 0.007, P = 0.967). Additionally, there was significant difference in the range of motion of ankle between two groups (P < 0.001 and P = 0.034). Logistic regression analysis further demonstrated nerve injuries and compartment syndrome were risk factors for poor ankle function after surgery (OR 22.580, P = 0.036 and OR 12.674, P = 0.041). Conclusion Most patients who sustained blunt PAI had significant functional deficit associated with limited activity and chronic neurological symptoms of ankle and foot, and poor functional outcomes were related to nerve injury and compartment syndrome. Therefore, early and effective decompression for compartment syndrome remains the only potentially modifiable risk factor for improving functional outcomes following PAI.

show abstract

Section: Discussionmentioning

confidence: 99%

Five-year outcomes of trauma-specific function in patients after acute blunt popliteal artery injury: a matched cohort analysis

Liu

Zhou

2022

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…The calculated incidence of popliteal artery injury is 5.67 per 10,000 cases of TKA, a percentage that rises in revision TKA cases[1]. Approximately 10% of patients with knee dislocations have popliteal artery injury[2].…”

mentioning

confidence: 99%

Surgical Implications of the Arterial Anatomy around the Knee: A Cadaveric Pictorial Essay

et al. 2021

View full text Add to dashboard Cite

We completed an anatomic cadaver study in order to examine the arterial supply around the knee and to create useful images regarding the arterial surgical anatomy around the knee. A total of four unmatched fresh-frozen cadaveric knees were utilized. There was no medical history of osteoporosis, bony or soft-tissue injury or surgery in any of the knees. The femoral arteries were cannulated with a large catheter at the proximal aspect of the cadavers, and liquid latex in different colours was injected. Τhe specimens were then placed into a bath of 8.0% sodium hypochlorite to complete debridement of the soft tissues to various degrees. The specimens were checked every 15 to 30 min until adequate debridement occurred, and photographs were taken during each stage of this process. Sodium hypochlorite, among others, chemically debrides the vessel walls leaving the casts of the vessel lumens filled with solid coloured latex in order to illustrate the vascular supply pattern to the structures of interest. Knowing the probability of where these arteries should be located adds to the knowledge that surgeons have at their disposal when performing procedures involving arthroscopy, arthroplasty and osteotomies, which can help decrease unnecessary damage to the arteries.

show abstract

The accuracy of routine knee MR imaging in detection of acute neurovascular injury following multiligamentous knee injury

et al. 2021

View full text Add to dashboard Cite

Knee dislocation with popliteal artery disruption: A nationwide analysis from 2005 to 2013

Abstract: High suspicion index should be maintained for concomitant vascular injuries following knee dislocations.

Cited by 8 publications

References 34 publications

Five-year outcomes of trauma-specific function in patients after acute blunt popliteal artery injury: a matched cohort analysis

Five-year outcomes of trauma-specific function in patients after acute blunt popliteal artery injury: a matched cohort analysis

Surgical Implications of the Arterial Anatomy around the Knee: A Cadaveric Pictorial Essay

The accuracy of routine knee MR imaging in detection of acute neurovascular injury following multiligamentous knee injury

Contact Info

Product

Resources

About