Management of vascular trauma from dog bites

Akingba, A. George; Robinson, E. A.; Jester, Andrea L.; Rapp, Brian M.; Tsai, Anthony; Motaganahalli, Raghu L.; Dalsing, Michael C.; Murphy, Michael P.

doi:10.1016/j.jvs.2013.05.101

Cited by 13 publications

(19 citation statements)

References 12 publications

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“…In a study comprising of 371 adult cases of dog bite injuries incidence of vascular injuries requiring repair was found to be 5.4%. 12 The popliteal artery is especially prone to injury since it is fixed proximally at the adductor magnus hiatus, and distally at the fibrous arch of the soleus and interosseus membrane. Vascular injuries of the extremities in paediatric patients usually have a favourable outcome and can be managed most of the times by thrombectomy or simple resection and anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Compound posterior cruciate ligament and popliteal artery injury due to dog bite: A case report

Tanwar

Jaiswal²,

Lal

et al. 2017

Acta Orthopaedica et Traumatologica Turcica

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Injuries due to dog bites are a common occurrence and are mostly trivial. Severe dog bite injuries requiring hospitalization and complex reconstructive procedures are more common in children. We present the case of a five year old child with popliteal artery thrombosis and compound Posterior Cruciate ligament injury due to a dog bite. The child was managed by immediate thrombectomy, meticulous debridement and knee spanning external fixation followed by Skin Grafting. At one year post surgery range of motion was 10–110°, with no distal neurovascular deficit and no sign of instability.

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Section: Discussionmentioning

confidence: 99%

Compound posterior cruciate ligament and popliteal artery injury due to dog bite: A case report

Tanwar

Jaiswal²,

Lal

et al. 2017

Acta Orthopaedica et Traumatologica Turcica

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“…Injuries were repaired at initial debridement with primary anastomosis, bypass, ligation or a combination of techniques. Although there was a high rate of post-operative wound infection in this patient group (20%), all limbs remained viable at 1-year follow-up [55]. …”

Section: Surgical Managementmentioning

confidence: 99%

Mammalian Bite Injuries to the Hand and Their Management

Jha¹,

Khan²,

Siddiqui³

2014

TOORTHJ

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Bite wounds are a common form of hand injury with the potential to lead to severe local and systemic sequelae and permanent functional impairment. Mammalian bite wounds may be caused by a variety of animal class and species; injuries resulting from dogs, cats and humans are the most widely discussed and reported in the literature. Bite wounds may be contaminated with aggressive pathogens and the anatomical vulnerability of structures within the hand means that without early recognition and treatment with irrigation and antibiotics, alongside a low index of suspicion for deep structural involvement requiring formal surgical exploration and washout, the consequences of such injuries can be disastrous. We review the literature and discuss the epidemiology, pathophysiology and microbiology relating to these injuries, as well as clinical aspects including signs, symptoms, and management.

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“…The hands are most often affected and are associated with more frequent need for both antibiotics and surgical intervention. 2,3 The severity of injury does not correlate with subsequent infections. 3 Management of dog bite injuries includes careful wound management.…”

Section: Commentarymentioning

confidence: 99%

“…2,3 The severity of injury does not correlate with subsequent infections. 3 Management of dog bite injuries includes careful wound management. All patients with moderate to severe injury should be assessed within 48 hours by physical examination and radiography to assess the degree of injury and any associated nerve, tendon, joint, or bone damage.…”

Section: Commentarymentioning

confidence: 99%