Successful primary repair of rupture of the popliteal artery in association with compound dislocation of the knee-joint

1964 ◽  
Vol 51 (3) ◽  
pp. 163-166 ◽  
Author(s):  
T. K. F. Taylor ◽  
J. C. Wardill
1993 ◽  
Vol 42 (3) ◽  
pp. 1225-1227
Author(s):  
Hirotaka Arima ◽  
Akihiko Sonoda ◽  
Hirohumi Ohsako ◽  
Koji Yonemori ◽  
Takashi Sakou ◽  
...  

Surgery Today ◽  
2000 ◽  
Vol 30 (11) ◽  
pp. 1026-1029 ◽  
Author(s):  
Naoki Unno ◽  
Hiroshi Kaneko ◽  
Takashi Uchiyama ◽  
Naoto Yamamoto ◽  
Satoshi Nakamura

Open Medicine ◽  
2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Pelin Seher Ö Öztekin ◽  
Elif Ergun ◽  
Esra Cıvgın ◽  
Hasan Yigit ◽  
Pınar Nercis Kosar

Abstract Objective: To evaluate variants of the popliteal artery (PA) terminal branches with 64-multidetector computed tomographic angiography (64-MD CTA).Materials and Methods: A total of 495 extremities (251 right, 244 left) of 253 patients undergoing a 64-MD CTA examination were included in the study. Of these, 242 extremities were evaluated bilaterally, whereas 11 were evaluated unilaterally. The terminal branching pattern of the PA was classified according to the classification scheme proposed by Kim; the distance between the medial tibial plateau and the origin of the anterior tibial artery (A) and the length of the tibioperoneal trunk (B) have been measured and recorded.Results: In 459 cases (92.7%) branching of PA occurred distal to the knee joint (Type I); in 18 cases (2.8%) PA branching was superior to the knee joint (Type II); and hypoplasia of the PA branches was found in 27 cases (5.5%) (Type III). Among these types the most frequent branching patterns were Type IA (87.5%), Type IIIA (3.9%), and Type IB (3.8%). The ranges of A and B mean distances were 47.6 mm and 29.6 mm, respectivelyConclusion: Variations in popliteal artery terminal branching pattern occurred in 7.4% to 17.6% of patients. Pre-surgical detection of these variations with MD CTA may help to reduce the risk of iatrogenic arterial injury by enabling a better surgical treatment plan.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Yasuyuki Ishibashi ◽  
Yuka Kimura ◽  
Eiji Sasaki ◽  
Shizuka Sasaki ◽  
Yuji Yamamoto ◽  
...  

Abstract Background The purpose of this study is to compare the outcomes of acute primary repair of extraarticular ligaments with staged surgery for acute knee dislocations (KDs) and multiligament knee injuries (MLKIs). Materials and methods Between January 2005 and May 2018, 61 consecutive patients diagnosed with MLKI or KD were referred to or visited our institution. Of these, 31 patients who underwent acute repair of extraarticular ligaments within 3 weeks of injury were included in this study. These patients were retrospectively classified into two groups: those who underwent only primary repair (repair group) and those who underwent staged reconstructive surgery (staged group). Follow-up examination included range of motion (ROM), knee joint stability (Lachman test, posterior drawer test, and varus and valgus stress test), Lysholm knee score, Tegner activity scale, and Knee Injury and Osteoarthritis and Outcome Score (KOOS). Results Twelve of the 31 patients did not need or desire further surgery and were included in the repair group. No significant difference was observed in demographic data between the repair and staged groups. Although staged surgery decreased positive posterior drawer test results, no significant difference was observed between the two groups regarding ROM, other knee joint stability tests, Lysholm scores, Tegner scale, or KOOS. Conclusions In this series, all patients returned to their activities of daily living and preinjury occupation levels. Acute primary repair of extraarticular ligaments provides essential knee stability without varus/valgus instability and may reduce the need for subsequent cruciate ligament reconstruction. Level of evidence Level IV, retrospective observational study.


2014 ◽  
Vol 71 (1) ◽  
pp. 87-90 ◽  
Author(s):  
Slobodan Cvetkovic ◽  
Nenad Jakovljevic ◽  
Dusica Simic ◽  
Milos Sladojevic ◽  
Ljubomir Djurasic ◽  
...  

Introduction. Posterior knee joint dislocation associated with injury of the popliteal artery in children is an extremely rare condition. Rapid diagnosis and treatment are essential for limb salvage and function. Case report. We reported a 14-year-old boy who suffered traumatic displacement of the right knee and contusion of the popliteal artery during motorcycle accident. The diagnosis was confirmed using Doppler and duplex ultrasonography and digital substraction transfemoral arteriography. The urgent surgical procedure was performed using posterior approach to the popliteal artery. During the surgical exploration, rupture of the posterior cruciate ligament associated with thrombosed popliteal artery have been found. The damaged popliteal artery was resected and replaced with autologous saphenous vein graft. The last stage of the procedure was a transosseous femoral fixation of posterior circuate ligament. A 3-year-follow-up after the surgery demonstrated intact arterial perfusion and very good function of the knee with a minimal difference as compared with the contralateral knee. Conclusion. Combined orthopedic and vascular injuries are very rare in children. They require combined treatment.


2012 ◽  
Vol 56 (3) ◽  
pp. 889-890
Author(s):  
Aleksandra Policha ◽  
Neil Moudgill ◽  
Lily Chang ◽  
Anumeha Whisenhunt ◽  
Shawn Pierce ◽  
...  

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