Luxations traumatiques du genou associées à une interruption de l’artère poplitée

Open elbow dislocations with vascular injury are rare injuries and they most commonly occur after a fall from a high or in sports accidents. Close anatomic proximity of the joint to the neurovascular structures put them at risk of concomitant injury. The aim of this paper is to present the method of treatment of this severe injury.Herein we present a case of a female patient, 43 years old. She had suffered an open elbow dislocation with vascular injury as a result of a fall from the height of 1.5 meters. Seven hours after sustaining the injury and short preoperative preparation, reposition of the elbow, reconstruction of the vascular injury, adequate surgical treatment of the wound and external fixation of the elbow with the Mitković type external fixator were performed under general anesthesia. Four weeks after elbow stabilization with the external fixation, the external fixator was removed. The neurovascular status and final functional result of the treatment after six mounts were good. Urgent reposition, artery and vein reconstruction, and external fixation are essential in achieving good results in patients with open cubital dislocation accompanied with vascular injury. The Mitković type external fixator provides fast and stable fixation of the elbow after reposition and good conditions for wound care.

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“…The frequency of associated neurovascular lesions in the elbow dislocation is greatly lower in comparison to the dislocations of the knee (6).…”

Section: Introductionmentioning

confidence: 78%

Surgical Treatment of an Open Elbow Dislocation with Vascular Injury: A Case Report

Stojiljković¹,

Jovanović²,

Golubović³

et al. 2017

Acta Facultatis Medicae Naissensis

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“…No additional articles were identified in the references or review articles. Three articles were subsequently excluded during the data analysis for overlapping data in consecutive publications [1, 6, 13]. The 13 articles identified for inclusion are listed in Table 1 [2, 7, 8, 12, 16–18, 20–24, 26].…”

Section: Resultsmentioning

confidence: 99%

A systematic review of peroneal nerve palsy and recovery following traumatic knee dislocation

Woodmass

Romatowski

Esposito

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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A vastly different prognosis can be expected for patients who suffer an incomplete versus a complete CPN palsy. The majority of patients with an incomplete palsy will achieve a full motor recovery while <40 % of patients with a complete motor palsy will regain the ability to dorsiflex at the ankle. While neurologic interventions show promise for the future, the outcomes in knee dislocation patients remain poor. The most predictable means of reestablishing antigravity dorsiflexion in a persistent CPN palsy is a posterior tibial tendon transfer.

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“…In case of ischemia, arteriography should be considered on the operating table in order to reduce loss of time [7]. The prevalence of a rupture of the popliteal arterial axis during a dislocation of the knee sits between 4 and 20%, the popliteal artery is particularly subjected to this sudden elongation because it is relatively attached to the femur as it passes through the adductor ring and to the tibia by the arch of the soleus [8]. The frequency of interruptions to the popliteal axis is closely related to that of neurological damage and soft tissue damage [9,10].…”

Section: Discussionmentioning

confidence: 99%

Knee Dislocation Complicated by A Vascular-Nervous Injury: Case Report and Review of the Literature

Galiou¹,

Boufettal²,

Bassir³

et al. 2020

SJAMS

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Luxations traumatiques du genou associées à une interruption de l’artère poplitée

Cited by 31 publications

References 30 publications

Surgical Treatment of an Open Elbow Dislocation with Vascular Injury: A Case Report

Surgical Treatment of an Open Elbow Dislocation with Vascular Injury: A Case Report

A systematic review of peroneal nerve palsy and recovery following traumatic knee dislocation

Knee Dislocation Complicated by A Vascular-Nervous Injury: Case Report and Review of the Literature

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