Management of traumatic popliteal vein injuries

Ekim, Hasan; Başel, Halil; Odabaşı, Dolunay

doi:10.1016/j.injury.2011.01.016

Cited by 13 publications

(9 citation statements)

References 24 publications

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“…Those in favor advocate that increased venous drainage results in less edema and the chances of developing compartment syndrome eventually leading to limb loss are low. 14 ) Others advocate that venous repair is time-consuming and that there is no long-term added advantage over venous ligation. Kurtoglu et al performing venous ligation in 63 cases concluded that there was no sequel of chronic venous insufficiency and there was no detrimental effect of venous ligation on the concomitant arterial repairs.…”

Section: Discussionmentioning

confidence: 99%

Evaluation, Surgical Management and Outcome of Traumatic Extremity Vascular Injuries: A 5-year Level-1 Trauma Centres Experience

Rashid

Jamil

Anwer

2018

Annals of Vascular Diseases

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Objective: We aim to share our experience regarding the surgical management and outcome of extremity vascular trauma in level-1 trauma centres in Pakistan.Patients and methods: All consecutive patients with traumatic extremity vascular injury (TEVI) fulfilling the inclusion criteria; between June 2012 and June 2017 were included. The demographics, clinical presentation, management, and outcome measures were recorded.Results: The study included 81 patients. The mean age±standard deviation was 28.6±14.5 years and 81.5% (n=66) of the patients were males. Blunt TEVI was found in 65.4% (n=53) of the cases. Partial laceration was the most common type of arterial injury (64.2%, n=52) and autologous interposition venous grafting was the most common repair performed (60.5%, n=49). Fasciotomy was performed in 67.9% (n=55) of the patients. The limb salvage rate was 82.7%. The amputation rate was higher in the blunt trauma group when compared with that of the penetrating trauma group. The length of the intensive care unit stay and the use of polytetrafluoroethylene as interposition graft were two independent predictors of limb loss. The mortality rate in this series was 8.6%.Conclusion: Blunt TEVI is associated with higher morbidity and limb loss. The use of synthetic graft should be discouraged. The liberal use of autologous interposition venous graft and the judicious use of fasciotomies are helpful to achieve favorable outcomes.

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Section: Discussionmentioning

confidence: 99%

Evaluation, Surgical Management and Outcome of Traumatic Extremity Vascular Injuries: A 5-year Level-1 Trauma Centres Experience

Rashid

Jamil

Anwer

2018

Annals of Vascular Diseases

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“…It was argued that with modern patient monitoring and blood product availability, popliteal vein ligation is only indicated in unstable patients refusing blood transfusions. 7…”

Section: Discussionmentioning

confidence: 99%

Popliteal vein repair may not impact amputation rates in combined popliteal artery and vein injury

et al. 2015

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“…Repair techniques vary based on the nature of the venous injury but lateral suture repair (lateral venorrhaphy) has yielded more successful outcomes than other techniques and is recommended whenever possible [ 9 ]. The benefits of repair are reduced incidence of postoperative venous hypertension and chronic venous insufficiency, improved arterial flow and patency, and improved limb salvage [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Prophylactic fasciotomies are recommended in the setting of combined arterial and venous injuries when restoration of circulation is delayed, when venous repair is not adequate or the vein requires ligation, or when injuries to the thigh impede venous collateral outflow [ 15 , 16 ]. Fasciotomies of the lower extremity are not benign procedures and complications include chronic pain, infection, nerve injury, disfiguring wounds particularly when they require skin grafts, and chronic venous insufficiency [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Compartment Syndrome following Open Femoral Fracture with an Isolated Femoral Vein Injury Treated with Acute Repair

Walmsley

Axelrod

Rodriguez-Elizalde

2014

Case Reports in Orthopedics

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Acute compartment syndrome is a surgical emergency and its diagnosis is more difficult in obtunded or insensate patients. We present the case of a 34-year-old woman who sustained a Gustilo-Anderson grade III open midshaft femur fracture with an isolated femoral vein injury treated with direct repair. She developed lower leg compartment syndrome at 48 hours postoperatively, necessitating fasciotomies. She was subsequently found to have a DVT in her femoral vein at the level of the repair and was started on therapeutic anticoagulation. This case highlights the importance of recognition of isolated venous injuries in a trauma setting as a risk factor for developing compartment syndrome.

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Management of traumatic popliteal vein injuries

Cited by 13 publications

References 24 publications

Evaluation, Surgical Management and Outcome of Traumatic Extremity Vascular Injuries: A 5-year Level-1 Trauma Centres Experience

Evaluation, Surgical Management and Outcome of Traumatic Extremity Vascular Injuries: A 5-year Level-1 Trauma Centres Experience

Popliteal vein repair may not impact amputation rates in combined popliteal artery and vein injury

Compartment Syndrome following Open Femoral Fracture with an Isolated Femoral Vein Injury Treated with Acute Repair

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