Risk factors associated with amputation in civilian popliteal artery trauma

Ramdass, Michael J.; Muddeen, Alyssa; Harnarayan, Patrick; Spence, Richard; Milne, David

doi:10.1016/j.injury.2018.04.028

Cited by 23 publications

(14 citation statements)

References 15 publications

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“…Additionally, the rate of blunt trauma in the study by Talbot et al was measured as 3368 (57%) [49]; the same rate equaled 57% in the study by Eslami et al [32]; all of which were reported to be above 50%. However, in a study by Ramdass et al, it accounted for 12(37%) and less than 50% of the causes of VT [50].…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Prevalence of Vascular Trauma and Related Factors in Iran: A Systematic Review

Karimian

Okhli

Noormohammadi-Dehbalaee

et al. 2021

IJMTFM

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Background: Managing patients with Vascular Trauma (VT) is essential. This study aimed to determine the prevalence of VT and its related factors in Iran. Methods: This systematic review was performed by two skilled researchers. To access all the Persian and English articles on VT and its influencing factors (from 2000 to August 2019), in addition to Google Scholar search engine, other international databases, such as PubMed/ Medline, Scopus, Embase, Cochrane Library, Science Direct, Web of Science (ISI), and domestic databases, such as Magiran, IranDoc, National Library of Iran Organization, SID, and Barakatkns were used. Data analysis was conducted by MA (CMA) software. Results: The incidence of lower Lower Vascular Trauma (LVI) trauma was equal to 58.4 (95%CI: 41.1-73.8) (I2= 94.67, Q=112.57, P<0.001); the prevalence of upper LVI trauma was measured to be 31.5 (95%CI: 17.7-49.7) (I2=94.48, Q=108.70, P<0.001); the prevalence of penetrating trauma was calculated as 61.3 (95% CI: 49.5-71.9); the prevalence of ulnar nerve injury equaled 9.8 (95%CI: 2.8-28.6); the prevalence of radial nerve trauma was equal to 7.7 (95%CI: 1.2-35.4); the prevalence of death cases was reported as 12.3 (95%CI: 5.1-26.9); the prevalence of amputation rate was observed as 8.8 (95%CI: 5.7-13.4); the prevalence of fasciotomy rate was equal to 22.2 (95%CI: 13.2-34.5); the prevalence of complete artery cutting equaled 55.7 (95% CI: 35.4-74.3),and the prevalence of incomplete artery cutting was measured as 25.5 (95%CI: 12.1-45.9). Conclusion: According to the study results, VT has led to various complications in patients; thus, it is critical to provide the necessary conditions to preserve the patient’s life and prevent life-threatening complications. Such goals could be achieved by preventing this type of trauma and its related complications.

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Section: Discussionmentioning

confidence: 94%

“…In the present study, the most common causes of trauma included accident [48][49][50][51], fall [52], and create hit [53]. Garg et al conducted a research in India and concluded that 83.33% of patients had VT due to blunt trauma [48].…”

Section: Discussionmentioning

confidence: 96%

Prevalence of Vascular Trauma and Related Factors in Iran: A Systematic Review

Karimian

Okhli

Noormohammadi-Dehbalaee

et al. 2021

IJMTFM

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“…Our military cohort experienced an amputation rate above the 13e30% reported in the civilian literature. 9,21,23,24 The reasons for this finding are likely multifactorial. As noted, these limbs all suffered combat-related injuries, nearly 3 quarters of which were from a blast mechanism.…”

Section: Discussionmentioning

confidence: 95%

“…Popliteal vein injury has been associated with other limb injury factors and secondary amputation. 7,9,21,22 Another significant factor distinguishing this cohort from historical military and civilian ones is the predominance of explosive injury mechanisms as opposed to gunshot wounds. Although both of these mechanisms are high-energy mechanisms, explosions (such as those produced by the improvised explosive devices common in Iraq and Afghanistan) result in large degrees of bone and soft tissue destruction.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Limb Outcomes by Management of Concomitant Vein Injury in Military Popliteal Artery Trauma

Guice

Gifford

Hata

et al. 2020

Annals of Vascular Surgery

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“…Arterial injuries are serious limb-threatening injuries during knee injuries, especially in tibial plateau fractures. The annual incidence of popliteal artery trauma was reported to be 2.46 in a population of 10,000 [ 18 ]. Tibial plateau fractures have the highest proportion of vascular complications, indicating that immediate therapeutic measures should be taken, while the incidence of popliteal artery injury is even higher in knee hyperextension injuries than that in common injuries [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Complications associated with hyperextension bicondylar tibial plateau fractures: a retrospective study

Sun

et al. 2021

BMC Surg

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Background Hyperextension bicondylar tibial plateau fracture (HBTPF) is a particular form of tibial plateau fracture which has gained increasing interest recently but were rarely documented. In this study, we reported the characteristics, clinical intervention, and therapeutic outcomes of HBTPF patients. Methods From May 2015 to October 2017, clinical data of consecutive patients with bicondylar tibial plateau fractures (BTPF) who underwent surgical treatment in our hospital were retrospectively studied. The patients were allocated to either the HBTPF group (study group) or the non-HBTPF group (control group) based on the radiological features, and inclusion and exclusion criteria. Demographics, characteristics of knee joint injuries, complications, and outcomes were compared between the two groups. Results In total, 59 patients were included in this study. Among them, 17 patients with HBTPF were identified and 42 patients were diagnosed as non-HBTPF. No differences in age, sex, cause of injury, side of injury, site of injury, nerve injury, operation time, and treatment time and incision complication between HBTPF and non-HBTPF group. The incidence rate of popliteal artery injury in HBTPF group was 29.4 %, which was significantly higher than that of non-HBTPF group. Small bone chips on the lateral film were found in 94.1 % of the patients in HBTPF group, which was significantly higher than that of non-HBTPF group. The range of motion (ROM) and hospital for special surgery (HSS) score of HBTPF group were significantly lower than those of non-HBTPF group. Conclusions HBTPF is a severe injury with a higher incidence rate of popliteal artery injury and worse outcomes than non-HBTPF. Small bone chips at the anterior margin of the proximal tibia on the lateral plain film might be a characteristic of HBTPF.

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Risk factors associated with amputation in civilian popliteal artery trauma

Cited by 23 publications

References 15 publications

Prevalence of Vascular Trauma and Related Factors in Iran: A Systematic Review

Prevalence of Vascular Trauma and Related Factors in Iran: A Systematic Review

Analysis of Limb Outcomes by Management of Concomitant Vein Injury in Military Popliteal Artery Trauma

Complications associated with hyperextension bicondylar tibial plateau fractures: a retrospective study

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