2005
DOI: 10.1111/j.1445-2197.2005.03550.x
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Popliteal artery injury: Royal Perth experience and literature review

Abstract: Despite technical improvements in management of popliteal artery injury, a high amputation rate is still seen, especially in patients with one or more of the following factors: extensive soft-issue injury, associated skeletal trauma, knee dislocation, and prolonged ischaemia time. Measures to reduce the amputation rate, ranging from more prompt diagnosis to modified surgical treatment techniques, are discussed.

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Cited by 33 publications
(25 citation statements)
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“…The popliteal artery, because of its attachments both proximal and distal to the knee, is injured in approximately 20% to 40% of all knee dislocations [3, 4]. The incidence can be as high as 50% [5] in anterior and posterior dislocations [6] and higher with co-existing fractures [7]. Vascular status can be established clinically or through an angiography.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…The popliteal artery, because of its attachments both proximal and distal to the knee, is injured in approximately 20% to 40% of all knee dislocations [3, 4]. The incidence can be as high as 50% [5] in anterior and posterior dislocations [6] and higher with co-existing fractures [7]. Vascular status can be established clinically or through an angiography.…”
Section: Introductionmentioning
confidence: 99%
“…Duplex Doppler Ultrasound has been found to be equally as accurate in the elective setting. The accuracy however decreases with skeletal deformity, swelling, haematoma, dressings, and the lack of necessary skill and expertise [7]. Normal vascular examination and observation has been found to be sensitive enough to exclude vascular compromise [8].…”
Section: Introductionmentioning
confidence: 99%
“…The rate of amputation in our study was 11.4%, while the rate of amputations after femoropopliteal vascular traumas has been reported up to 36% [15][16][17] . In study by Saeed et al, 30% of the injured persons underwent amputation 18 and in study by Davoodi et al 34% of patients have been amputated 19 and this shows that amputations in our study compared to other similar studies has been at the possible lowest rate.…”
Section: Discussionmentioning
confidence: 83%
“…6 On-table angiography has been shown to prevent delays associated with formal angiography, 3,9 which should be reserved for patients with reasonable distal perfusion in whom the diagnosis of arterial injury is in doubt. 24 The sequence of revascularisation and external fixation in this study group appeared to have no association with limb loss. While the timing of stabilisation of fractures in the context of vascular injury is contentious, 1,2,6 a meta-analysis has demonstrated no difference in the amputation rates in patients undergoing vascular repair prior to stabilisation versus those undergoing stabilisation prior to vascular repair.…”
Section: Delayed Amputation 10 33%mentioning
confidence: 96%