Document Detail

Revascularisation later than 24h after popliteal artery trauma: is it worthwhile?
MedLine Citation:
PMID:  17697677     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Traumatic popliteal artery injury carries heavy morbidity. Ischaemic time is an important factor affecting limb survival. In developing countries most patients present late for repair and there are no distinct guidelines in deciding for revascularisation. PATIENTS AND METHODS: Patients with popliteal artery trauma who had presented at least 24h after injury were included in the study. Individuals with dead foot were excluded; participants underwent either amputation or revascularisation. RESULTS: Among 30 patients entered in the study, 3 underwent amputation; of these, 2 had complete paralysis with partial sensory loss and 1 had complete sensory and motor loss. The rate of amputation was significantly higher among patients with motor deficit (p=0.008) but not among those with sensory deficit. CONCLUSIONS: Revascularisation can be successful for patients who retain only one foot movement. We recommend revascularisation also for cases presenting late and with complete motor deficit below the knee, but without mottling.
Majid Moini; Mir Alireza Takyar; Mohammad R Rasouli
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Publication Detail:
Type:  Journal Article     Date:  2007-08-13
Journal Detail:
Title:  Injury     Volume:  38     ISSN:  0020-1383     ISO Abbreviation:  Injury     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-24     Completed Date:  2008-03-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0226040     Medline TA:  Injury     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1098-101     Citation Subset:  IM    
Division of Vascular Surgery, Sina Hospital, Tehran University of Medical Sciences, Iran.
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MeSH Terms
Follow-Up Studies
Limb Salvage / methods*
Popliteal Artery / injuries*,  surgery
Time Factors
Treatment Outcome

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