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Civilian popliteal artery injuries
Mohammed Asif Banderker1, Pradeep Harkison Navsaria, Sorin Edu
1Trauma Centre, Groote Schuur Hospital and University of Cape Town, South Africa.
South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|December 11, 2012
Summary
Longer ischaemic time and compartment syndrome significantly increase amputation risk in civilian popliteal artery injuries. Prompt repair is crucial to prevent limb loss.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Orthopedic Surgery
Background:
- Civilian popliteal artery injuries lead to high rates of limb amputation.
- Understanding factors contributing to amputation is critical for improving patient outcomes.
Purpose of the Study:
- To identify key factors associated with limb loss in patients sustaining popliteal artery injuries.
- To analyze demographic, injury, and treatment variables influencing amputation rates.
Main Methods:
- Retrospective chart review of prospectively collected data from 1999-2008.
- Analysis of 136 patients with popliteal artery injuries, examining injury mechanisms, associated injuries, ischaemic time, and surgical interventions.
Main Results:
- Popliteal artery injuries resulted in a 37.5% amputation rate.
- Factors significantly associated with increased amputation rates included ischaemic time exceeding 7 hours (p=0.0236) and the presence of compartment syndrome (p=0.003).
- Associated injuries commonly included fractures (48.6%) and knee dislocations (21.3%).
Conclusions:
- Prolonged ischaemic time (over 7 hours) and compartment syndrome are the most significant predictors of amputation in popliteal artery injuries.
- Timely surgical intervention and management of compartment syndrome are essential to reduce limb loss.
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