Experience of the treatment of non-combat-related popliteal artery injuries

Authors

  • A. R. VAYDA I. Horbachevsky Ternopil National Medical University, Ternopil City Emergency Hospital
  • I. M. DEYKALO I. Horbachevsky Ternopil National Medical University, Ternopil City Emergency Hospital
  • O. A. YAKYMCHUK I. Horbachevsky Ternopil National Medical University, Ternopil City Emergency Hospital

DOI:

https://doi.org/10.11603/2414-4533.2023.4.14182

Keywords:

popliteal artery damage, knee injury, popliteal vein damage, limb revascularization, limb amputation

Abstract

The aim of the work: to identify the distinctive features of the popliteal artery injuries leading to limb loss, along with the contributing factors for amputation, despite revascularization attempts, in order to enhance prediction and treatment outcomes for such injuries.

Materials and Methods. We analyzed data from 18 patients who experienced non-combat-related injuries to the popliteal artery between 2003 and 2022 and underwent limb revascularization. In 8 cases (44.4 %), amputation was performed shortly thereafter. We performed a comparative analysis between the group of patients who successfully restored limb blood supply and the group of patients in whom limb preservation was not achieved.

Results and Discussion. The decisive factors leading to the unsatisfactory outcome of limb revascularization were a significant soft tissue defect in the injury zone delays in providing specialized assistance, and concurrent damage to other anatomical structures in that area. The combination of arterial and venous injuries with open fractures of the tibia involving muscle detachment or limb crush is the most unfavorable scenario for a positive prognosis of reconstructive surgical intervention

References

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Published

2023-12-28

How to Cite

VAYDA, A. R., DEYKALO, I. M., & YAKYMCHUK, O. A. (2023). Experience of the treatment of non-combat-related popliteal artery injuries. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 74–77. https://doi.org/10.11603/2414-4533.2023.4.14182

Issue

No. 4 (2023)

Section

EXPERIENCE OF WORK

License

Copyright (c) 2023 А. Р. ВАЙДА, І. М. ДЕЙКАЛО, О. А. ЯКИМЧУК

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