Nishimura Kengo, Hamasaki Takafumi, Ohno Takashi, Nishihara Akihiko, Ito Hisao, Ishiguro Shingo
Department of Surgery Tottori Prefectural Kousei Hospital Kurayoshi Japan.
Department of Orthopedic Surgery Tottori Prefectural Kousei Hospital Kurayoshi Japan.
Acute Med Surg. 2015 Dec 22;3(3):276-278. doi: 10.1002/ams2.160. eCollection 2016 Jul.
A 45-year-old man was brought to our hospital in pre-shock after falling from a motorcycle. As we diagnosed him with open fracture of the right femur with leg ischemia, we performed revascularization of injured popliteal artery and treated the leg. The pathological findings showed fragmentation and decrease of elastic fibers and fragmentation of collagen fibers, but no inflammatory cells or intimal hyperplasia, and no dissection.
Unfortunately, amputation had to be carried out on the 29th postoperative day due to infection and leg dysfunction. The postoperative course was uneventful. The patient could walk with an artificial leg and was discharged approximately 5 months after popliteal artery replacement.
We report a case of revascularization involving a patient with open fracture of the right femur due to acute blunt popliteal artery injury.