Popliteal artery injury in Kuwait

While there is an abundant literature on popliteal artery injury secondary to penetrating trauma, few reports deal with popliteal artery injury caused by severe blunt trauma with or without fracture. Eight cases of popliteal artery injury are described. Seven of the patients had sustained blunt trau...

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Bibliographic Details
Published inActa chirurgica Scandinavica Vol. 150; no. 6; p. 441
Main Authors Abu-Nema, T, Ayyash, K, Shanabo, A, Eklöf, B
Format Journal Article
LanguageEnglish
Published Sweden 1984
Subjects
Adult
Amputation
Female
Humans
Kuwait
Leg - blood supply
Leg - surgery
Male
Middle Aged
Popliteal Artery - injuries
Popliteal Artery - surgery
Popliteal Vein - injuries
Wounds, Gunshot - surgery
Wounds, Nonpenetrating - surgery
Kuwait
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Summary:While there is an abundant literature on popliteal artery injury secondary to penetrating trauma, few reports deal with popliteal artery injury caused by severe blunt trauma with or without fracture. Eight cases of popliteal artery injury are described. Seven of the patients had sustained blunt trauma, usually resulting also in damage to bone and soft tissues. The popliteal vein was involved in five of the injuries. The time lag between causal trauma and vascular repair averaged 25 hours. Delay was due mainly to failure to consult the vascular surgeon at an early stage. Leg amputation was necessary in two cases. Two patients died. The importance of early recognition of the vascular injury and appropriate surgical measures was illustrated in this small series of patients from a developing Middle Eastern country. Adequate fasciotomy, venous repair, use of intraoperative Doppler and repeated postoperative débridement are discussed in connection with management.
ISSN:0001-5482