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Revascularization for acute blunt popliteal artery injury
Kengo Nishimura1, Takafumi Hamasaki1, Takashi Ohno1
1Department of Surgery Tottori Prefectural Kousei Hospital Kurayoshi Japan.
Acute Medicine & Surgery
|November 11, 2017
Summary
A motorcycle accident victim with a femur fracture and leg ischemia underwent popliteal artery revascularization. Despite initial treatment, amputation was necessary due to infection, but the patient recovered with an artificial limb.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Orthopedic Surgery
Background:
- Open femur fractures can lead to severe limb ischemia.
- Popliteal artery injuries require prompt surgical intervention.
Observation:
- A 45-year-old male presented with open right femur fracture and leg ischemia post-motorcycle accident.
- Initial management included revascularization of the injured popliteal artery.
Findings:
- Pathological examination revealed elastic and collagen fiber fragmentation without inflammation or intimal hyperplasia.
- Despite revascularization, the patient developed infection and leg dysfunction, necessitating amputation on the 29th postoperative day.
Implications:
- This case highlights the challenges in managing acute blunt popliteal artery injuries associated with open femur fractures.
- Successful limb salvage is not always achievable, even with timely vascular repair.
- Rehabilitation with prosthetic devices can lead to functional recovery after lower extremity amputation.
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