Lefrak E A
Arch Surg. 1976 Sep;111(9):1021-4. doi: 10.1001/archsurg.1976.01360270093018.
Popliteal artery injury is a hazardous and often subtle complication of traumatic knee dislocation. Review of the literature in which series of knee dislocations were reported has revealed a 28% incidence of thrombosis or rupture of this critical vessel. Fifty-seven percent of these patients required leg amputation. The most frequent cause of limb loss has been absence or delay of direct surgical repair of the associated popliteal artery injury. This report describes a management plan that is intended to minimize the likleihood of future disabling leg amputations following knee dislocation.
腘动脉损伤是创伤性膝关节脱位的一种危险且常常隐匿的并发症。回顾报告了一系列膝关节脱位病例的文献发现，这条关键血管发生血栓形成或破裂的发生率为28%。这些患者中有57%需要截肢。肢体缺失最常见的原因是相关腘动脉损伤未进行直接手术修复或延迟修复。本报告描述了一项管理计划，旨在最大程度降低膝关节脱位后未来发生致残性截肢的可能性。
