Popliteal Artery Injuries: The Kashmir Experience

Dar, Abdul Majeed; Ahanger, Abdul Gani; Wani, Rauf Ahmad; Bhat, Mohammed Akbar; Lone, Ghulam Nabi; Shah, Sonaullah

doi:10.1097/01.ta.0000052369.46364.4f

Cited by 21 publications

(25 citation statements)

References 21 publications

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“…Amputation rates as low as 4% have been reported with isolated arterial injuries, although rates as high as 61% have been seen when combined vascular, skeletal, and soft tissue injuries are present. [4][5][6] In this study, we have evaluated our experience with a subset of patients who had a combination of vascular injury and limb fracture. …”

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confidence: 99%

Treatment of vascular injuries associated with limb fractures

Çakır

Subaşı²,

Erdem³

et al. 2005

Ann R Coll Surg Engl

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Ann R Coll Surg Engl 2005; 87: 348-352 348Fractures with arterial injury requiring vascular repair are severe injuries. This type of fracture is often associated with severe soft-tissue compromise and damage of neurological structures.1-3 Amputation rates after these injuries vary widely depending in large part on the degree of skeletal and soft tissue destruction. Amputation rates as low as 4% have been reported with isolated arterial injuries, although rates as high as 61% have been seen when combined vascular, skeletal, and soft tissue injuries are present. [4][5][6] In this study, we have evaluated our experience with a subset of patients who had a combination of vascular injury and limb fracture. Patients and MethodsBetween 1985 and 2002, we treated 192 patients with limb fractures and concomitant vascular injury. The records from these 192 cases were retrospectively reviewed. Data including mechanism of injury, location and severity of vascular and orthopaedic injuries, methods of vascular and orthopaedic repair, and amputation rates were collected. Primary amputations are excluded in this study.There were 168 men and 24 women. The mean age was 26 years (range, 3-65 years).Upon arrival, an initial injury assessment was performed, life-threatening injuries treated, and fluid resuscitation was started. Following stabilisation, a focused extremity examination was performed. The presence of pulses in the extremities was determined by palpation. If pulses were absent, arterial Doppler signals were assessed in the emergency room using a hand-held Doppler instrument. Orthopaedic consultation was obtained for all patients. Bone injuries were classified as either open or closed and by the number of bones fractured based on physical examination and radiological studies. Open fractures were further classified according to the grading system of Gustilo et al. 5 All orthopaedic injures were stabilised in the emergency room with external splints.Pre-operative arteriograms were used in patients in whom an arterial injury was suspected by physical findings The goal of therapy in all patients with combined orthopaedic and vascular injuries of the extremities is salvage of a functional limb. In this study, we have evaluated our experience with a subset of patients who had a combination of vascular injury and limb fracture.

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confidence: 99%

Treatment of vascular injuries associated with limb fractures

Çakır

Subaşı²,

Erdem³

et al. 2005

Ann R Coll Surg Engl

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“…Popliteal artery might be trapped by neighbouring muscles and tendons due to variations that occur during embryologic development of muscles and arteries. Dar AM et al [25] noticed that Popliteal artery was tethered at the Adductor magnus hiatus and distally by the fascia related to Soleus. It is therefore vulnerable to traction during knee injuries, e.g.…”

Section: Discussionmentioning

confidence: 99%

The Anatomical Study of Popliteal Artery and Its Variations

Philippose¹,

Jacinth²,

Muniappan³

2017

IJAR

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“…An armed conflict that erupted in Indian Kashmir since 1989 left tens of thousands killed and many more injured [2]. This has now been replaced in recent years by mass street protests which at times become violent.…”

Section: Introductionmentioning

confidence: 99%