Sukhvir Singh Consultant, Department of Anesthesiology and Critical Care, Max Hospital, Mohali, Chandigarh 160025, Panjab, India
Rishi Dhawan Senior Consultant, Department of Plastic Surgery, Max Hospital, Mohali, Chandigarh 160025, Punjab, India
Address for correspondence: Sukhvir Singh, Consultant, Department of Anesthesiology and Critical Care, Max Hospital, Mohali, Chandigarh 160025, Panjab, India E-mail: drsukhvirsingh@gmail.com
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Singh S, Dhawan R. Delayed popliteal artery injury after blunt trauma: presentation and successful management. Ind J Anesth Analg. 2024;11(3):135-8.
Timeline
Received : March 14, 2024
Accepted : April 29, 2024
Published : September 28, 2024
Abstract
Injury to popliteal artery mostly occurs with fracture, dislocation and penetrating trauma. Isolated blunt trauma in absence of other injuries makes it difficult to diagnose. Thus, high rate of complications such as amputation are reported in injury to popliteal artery cases. In this article successful revascularisation of a patient with delayed popliteal artery injury presentation associated with compartment syndrome is reported. Emphasis is laid on vascular reperfusion injury and significance of vascular examination in blunt trauma which helps in prevention of amputation and morbidity.
4. Kim JW, Sung CM, Cho SH, Hwang SC. Vascular injury associated with blunt trauma without dislocation of the knee. Yonsei Med J. 2010; 51:790-792.
5. Subasi M, Cakir O, Kesemenli C, Arslan H, Necmioglu S, Eren N. Popliteal artery injuries associated with fractures and dislocations about the knee. Acta Orthop Belg. 2001; 67:259-266.
7. Macedo FIB, Sciarretta JD, Salsamendi J, Karmacharya J, Romano A, Namias N. Repair of an acute blunt popliteal artery trauma via endovascular approach. Ann Vasc Surg 2015;29(2): 366.e5-366.e10.
8. Hollis JD, Daley BJ. 10-year review of knee dislocations: is arteriography always necessary? J Trauma 2005; 59:672-5.
9. Welling RE, Kakkasseril J, Cranley JJ. Complete dislocations ofthe knee with popliteal vascular injury. J Trauma 1981; 21:450-3.
10. Kirby L, Abbas J, Brophy C. Recanalization of an occluded popliteal artery following posterior knee dislocation. Ann Vasc Surg 1999; 13:622-4.
11. Harrell DJ, Spain DA, Bergamini TM, Miller FB, Richardson JD. Blunt popliteal artery trauma: a challenging injury. Am Surg. 1997; 63:228-233.
12. Songur M, Zehir S, Oz II, Kalem M. Gluteal compartment syndrome secondary to superior gluteal artery injury following pelvis fracture: A case report and review of literature. Turkish J Emerg Med. 2016; 16:31–3.
13. Farber A, Tan T-W, Hamburg NM, Kalish JA, Joglar F, Onigman T, et al. Early fasciotomy in patients with extremity vascular injury is associated with decreased risk of adverse limb outcomes: a review of the National Trauma Data Bank. Injury 2013;43(9):1486–91.
14. Eltzschig HK, Eckle T. Ischemia and reperfusion– from mechanismto translation. Nat. Med. 2011; 17: 1391–401.
15. Collard CD, Gelman S. Pathophysiology, clinical manifestations and prevention of ischemiareperfusion injury. Anesthesiology 2001; 94:1133–8.
16. McCord JM. Oxygen-derived free radicals in postischemictissue injury. N Engl J Med 1985; 312: 159-63.
17. Haimovici H. Muscular, renal and metabolic complicationsof acute arterial occlusions: myonephropathic-metabolicsyndrome. Surgery 1979; 85: 461-8.
19. Shi L. The delayed management of main arterialinjuries in extremity trauma: surgicalchallenges and outcomes. Pak J Med Sci.2013;29(1):64–7.
20. Huynh TTT, Pham M, Griffin LW, Villa MA,Przybyla JA, Torres RH, et al. Moore FA.Management of distal femoral and poplitealarterial injuries: an update. Am J Surg2006; 192:773–8.
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Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
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Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Singh S, Dhawan R. Delayed popliteal artery injury after blunt trauma: presentation and successful management. Ind J Anesth Analg. 2024;11(3):135-8.
This license enables reusers to distribute, remix, adapt,
and build upon the material in any medium or format for noncommercial purposes
only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt,
and build upon the material in any medium or format for noncommercial purposes
only, and only so long as attribution is given to the creator.