Isolated complete popliteal artery rupture associated with knee dislocation

Witz, Misha; Witz, Shula; Tobi, Eitan; Shnaker, Ali; Lehmann, Jonathan

doi:10.1007/s00167-003-0423-2

Cited by 24 publications

(19 citation statements)

References 6 publications

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“…With participation in youth sports near record numbers, the identification, diagnosis, and treatment of pediatric ACL injuries have increased nearly 10-fold. 56 Despite the increasing incidence of ACL injuries, multiligament knee injuries in the adolescent population are scarce, 13 , 26 , 59 and thus the literature on indications, surgical timing, outcomes, and complications is limited. 40 …”

mentioning

confidence: 99%

Multiligament Knee Injuries in Older Adolescents: A 2-Year Minimum Follow-up Study

Godin

Cinque

Pogorzelski

et al. 2017

Orthopaedic Journal of Sports Medicine

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Background:Multiligament knee injuries cause significant functional impairment. Adults undergoing anatomic reconstruction of multiligament knee injuries have excellent outcomes postoperatively. However, less is known about the outcomes in adolescent patients following multiligament reconstruction.Purpose/Hypothesis:We aimed to assess patient outcomes and failure rates following unstaged multiligament reconstruction in an adolescent population at a minimum 2-year follow-up. We hypothesized that outcomes of multiligament reconstruction in these patients would be comparable to previously reported outcomes in the adult population.Study Design:Case series; Level of evidence, 4.Methods:The study included patients who had undergone multiligament knee reconstruction at 19 years of age or younger and had at least 2 years of follow-up. All procedures were performed by the same surgeon. Exclusion criteria included patient age 14 years or younger at the time of surgery, open physes, prior ipsilateral meniscal or knee ligament surgery, or a tibial plateau fracture at the time of injury. Multiligament reconstruction was defined as a reconstruction of at least 1 cruciate ligament and at least 1 component of the posterolateral corner or the medial knee. Patients were evaluated according to Lysholm score, Tegner score, Short Form–12 physical component summary (SF-12 PCS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, and postoperative patient satisfaction.Results:Twenty patients (mean age, 17.7 years; mean follow-up, 37.1 months) were included in this study. No patient required additional ligament surgery after the index surgery because of graft failure. The median preoperative Lysholm score was 49.5 (range, 18-90), and the median postoperative Lysholm score was 86 (range, 44-100) (P < .001). The median preoperative Tegner activity score was 2 (range, 0-9), and the median postoperative Tegner activity score was 6 (range, 2-10) (P = .012). The median SF-12 PCS improved from 40.5 preoperatively to a median of 56.1 postoperatively (P < .001). WOMAC total score improved from a median of 26.5 preoperatively to a median of 2 postoperatively (P < .001). Median postoperative patient satisfaction was 10 (range, 5-10).Conclusion:Single-stage multiligament knee reconstruction is a reliable procedure that improves knee function at 2-year follow-up in adolescent patients. Patient satisfaction was excellent, but longer follow-up in a larger series of patients is required to determine the long-term benefits of multiligament reconstruction in this patient population.

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confidence: 99%

Multiligament Knee Injuries in Older Adolescents: A 2-Year Minimum Follow-up Study

Godin

Cinque

Pogorzelski

et al. 2017

Orthopaedic Journal of Sports Medicine

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“…This helps in the diagnosis of patients who develop occlusive lesions on a delayed basis. 6,9,18 Ankle-brachial Index Some authors advocate use of the ABI in addition to physical examination to determine the need for arteriography. 9,19 Mills et al 19 reported 100% sensitivity, specificity, and positive predictive value for significant arterial injury when patients had an ABI <0.9.…”

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confidence: 99%

Controversies in the Treatment of Knee Dislocations and Multiligament Reconstruction

Levy

Fanelli

Whelan

et al. 2009

Journal of the American Academy of Orthopaedic Surgeons

217

125

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A systematic approach to evaluation and treatment is needed for the patient with knee dislocation. There is a paucity of high-level evidence on which to base treatment decisions. Reported controversies related to the treatment of the multiligament-injured knee include the selective use of arteriography for vascular assessment, serial physical examination with the ankle-brachial index, acute surgical treatment of all damaged structures, the selective application of preoperative and postoperative jointspanning external fixation, arthroscopic reconstruction of the anterior cruciate ligament and posterior cruciate ligament, simultaneous open reconstruction with repair of the posterolateral corner, reconstruction and/or repair of the posteromedial corner, and the use of allograft tissue. Physical Examination Vascular Assessment Popliteal artery injury and the potential for loss of the limb are of major concern following knee dislocation. Whether a patient should be evalu

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“…The mechanism of popliteal artery trauma is similar to that of knee dislocation. [5][6][7]11,12 The femoral condyle usually follows the posterior split of the medial tibial plateau producing a posterior subluxation of the knee joint in fl exion. As this subtle dislocation can be reduced in extension and the displacement of the fracture usually is minimal, the vascular compromise can be misdiagnosed, especially when inexperienced doctors perform the initial consultation.…”

Section: Discussionmentioning

confidence: 99%

Delayed Diagnosis of a Popliteal Artery Rupture After a Posteromedial Tibial Plateau Fracture-Dislocation

Papadopoulos

Panagopoulos²,

Kouzelis³

et al. 2010

J Knee Surg

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Isolated complete popliteal artery rupture associated with knee dislocation

Cited by 24 publications

References 6 publications

Multiligament Knee Injuries in Older Adolescents: A 2-Year Minimum Follow-up Study

Multiligament Knee Injuries in Older Adolescents: A 2-Year Minimum Follow-up Study

Controversies in the Treatment of Knee Dislocations and Multiligament Reconstruction

Delayed Diagnosis of a Popliteal Artery Rupture After a Posteromedial Tibial Plateau Fracture-Dislocation

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