Popliteal Artery Entrapment within a Tibial Plateau Fracture: A Case Report.

Published on Oct 6, 2021in Journal of Bone and Joint Surgery, American Volume5.284
· DOI :10.2106/JBJS.CC.21.00262
Jason Coffman2
Estimated H-index: 2
(UTMB: University of Texas Medical Branch),
David C. Moffatt1
Estimated H-index: 1
(UTMB: University of Texas Medical Branch),
Mark Foreman1
Estimated H-index: 1
(UTMB: University of Texas Medical Branch)
CASE Tibial plateau fractures can be associated with arterial injuries or dysvascular limbs, particularly in settings of trauma. Dysvascular limb in the setting of fracture is commonly due to dissection of the artery. Entrapment of the artery within the fracture is rare. We report a 48-year-old man who presented with left popliteal entrapment within a left tibial plateau fracture status-post external fixation and stent placement in the popliteal artery. CONCLUSION Findings from this case highlight entrapment of an artery as a mechanism of a dysvascular limb in the setting of high-energy lower-extremity fractures and specifically for tibial plateau fractures.
In acute trauma, posterior cruciate ligament (PCL) injury may occur concomitantly with a bony fracture and be easily overlooked. A popliteal artery injury associated with a tibial plateau fracture ...
#1Yanwei Liu (JLU: Jilin University)H-Index: 2
#2Yan-Hui Li (JLU: Jilin University)H-Index: 4
Last. Lei Tan (JLU: Jilin University)H-Index: 6
view all 6 authors...
BACKGROUND: Poplital artery transection injury is potentially catastrophic, or even life-threatening. Severe traumas, including open fracture, gunshot, stabs, and knee dislocation and complex fracture of proximal tibia or distal femur, are the common causes of high rate of amputation due to popliteal artery trauma. No report mentions vascular injury associated with minimally displaced tibial plateau fracture in adult. CASE PRESENTATION: A 30-year-old male presented with popliteal artery transect...
#1J. Mthethwa (Glasgow Royal Infirmary)H-Index: 1
#2A. Chikate (Glasgow Royal Infirmary)H-Index: 1
Tibial plateau fractures form a wide spectrum of injuries presenting varying challenges to the trauma surgeon. The prognosis of this injury spectrum is largely dependent on the management of each particular configuration, and the literature is as a result littered with a number of management strategies with limited consensus. The aim of this review is to provide a concise guide to the trauma surgeon based on newer and classical peer-reviewed publications in international orthopaedic journals. A ...
#1Sarasijhaa Desikan (UW: University of Washington)H-Index: 2
#2Alan Swenson (UW: University of Washington)H-Index: 3
Last. Elina Quiroga (UW: University of Washington)H-Index: 13
view all 9 authors...
#1Jamie J. ColemanH-Index: 10
#2Saharnaz TavoosiH-Index: 1
Last. David V. FelicianoH-Index: 77
view all 6 authors...
Abstract Problems related to the combination of an arterial injury and a blunt fracture in the lower extremity are well known-delayed diagnosis, damaged soft tissue, and high amputation rate. The actual incidence of this injury pattern is, however, unknown. The purposes of this study were to determine the current incidence of named arterial injuries in patients with blunt fractures in the lower extremities and assess potential associated risk factors. This was a 7-year (2007-2013) retrospective ...
Objective: The objective of the present study was to investigate the early diagnosis and treatment of trauma in the knee joints accompanied with popliteal vascular injury. Methods: Fifteen cases of patients with trauma in knee joints accompanied with popliteal vascular injury. These patients included 8 males and 6 females between the ages of 27 and 62, the average age being 39.2. Data of clinical symptoms and signs; blood oxygen saturation, color Doppler examination; vascular intervention by DSA...
#1Jong-Woo Kim (Gyeongsang National University)H-Index: 1
#2Chang-Meen Sung (Gyeongsang National University)H-Index: 1
Last. Sun-Chul Hwang (Gyeongsang National University)H-Index: 22
view all 4 authors...
Failure to recognize popliteal artery injury and restore vessel continuity of flow after blunt trauma is a major cause of lower extremity amputation and morbidity. A high index of suspicion and early recognition of the injury are paramount for limb salvage. We experienced a rare case of poplitial artery occlusion with the presence of arterial pulses due to collateral circulation after blunt trauma. Expeditious revascularization was achieved by using posterior approach, allowing two surgical team...
#1Fotios P. Tjoumakaris (HUP: Hospital of the University of Pennsylvania)H-Index: 23
#2Lawrence WellsH-Index: 20
: The severity of a tibial plateau fracture and the complexity of its treatment depend on the energy imparted to the limb. Low-energy injuries typically cause unilateral depression-type fractures, whereas high-energy injuries can lead to comminuted fractures with significant osseous, soft-tissue, and neurovascular injury. Evaluation includes appropriate radiographs and careful clinical assessment of the soft-tissue envelope. Treatment is directed at safeguarding tissue vascularity and emphasizes...
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