Departments of Thoracic Surgery, College of Medicine, Gyeongsang National University, Jinju, Korea.
Yonsei Med J. 2010 Sep;51(5):790-2. doi: 10.3349/ymj.2010.51.5.790.
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 teams to work simultaneously. This case illustrates that, even in the absence of knee dislocation, surgeons must always consider the possibility of a popliteal artery damage whenever a blunt trauma near the knee.
未能识别出钝性创伤后腘动脉损伤并恢复其血流连续性是导致下肢截肢和发病率的主要原因。高度怀疑和早期识别损伤对于肢体保全至关重要。我们遇到了一例罕见的因钝性创伤后侧支循环导致动脉搏动存在的腘动脉闭塞病例。通过采用后入路迅速进行了血运重建,使两个手术团队能够同时进行手术。该病例表明,即使没有膝关节脱位,只要膝关节附近有钝性创伤,外科医生也必须始终考虑到发生腘动脉损伤的可能性。