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Popliteal artery occlusion concomitant with a tibial plateau fracture and posterior cruciate ligament avulsion fracture

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 and PCL avulsion fracture is rare. Missed or delayed diagnosis of this condition leads to a high amputa...

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Autores principales: Li, Yi-Syuan, Lin, Kai-Cheng, Chen, Chun-Yu, Tarng, Yih-Wen, Chang, Wei-Ning
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7593672/
https://www.ncbi.nlm.nih.gov/pubmed/31510833
http://dx.doi.org/10.1177/0300060519869073
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author Li, Yi-Syuan
Lin, Kai-Cheng
Chen, Chun-Yu
Tarng, Yih-Wen
Chang, Wei-Ning
author_facet Li, Yi-Syuan
Lin, Kai-Cheng
Chen, Chun-Yu
Tarng, Yih-Wen
Chang, Wei-Ning
author_sort Li, Yi-Syuan
collection PubMed
description 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 and PCL avulsion fracture is rare. Missed or delayed diagnosis of this condition leads to a high amputation rate. Therefore, close attention is required with this type of injury. The limb can be saved though early detection and immediate reconstruction of the injured artery, followed by fasciotomy. We report here a rare case of popliteal artery occlusion proximal to the surgical zone, which was diagnosed after fixation of a medial tibial plateau fracture and posterior cruciate avulsion injury. In dashboard injuries without knee dislocation, the arterial intima may be injured and become vulnerable, even with an initial ankle brachial index greater than 0.9. This can cause concomitant occlusion of the popliteal artery due to iatrogenic retraction during surgery. Therefore, a neurovascular examination should be repeated to prevent delayed-onset thrombosis. To the best of our knowledge, this is the first case of popliteal artery injury concomitant with a tibial plateau fracture and PCL avulsion owing to initial dashboard injury-related arterial intima injury, which can present with a normal ankle brachial index.
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spelling pubmed-75936722020-11-10 Popliteal artery occlusion concomitant with a tibial plateau fracture and posterior cruciate ligament avulsion fracture Li, Yi-Syuan Lin, Kai-Cheng Chen, Chun-Yu Tarng, Yih-Wen Chang, Wei-Ning J Int Med Res Special Issue: Current treatment in orthopaedic surgery 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 and PCL avulsion fracture is rare. Missed or delayed diagnosis of this condition leads to a high amputation rate. Therefore, close attention is required with this type of injury. The limb can be saved though early detection and immediate reconstruction of the injured artery, followed by fasciotomy. We report here a rare case of popliteal artery occlusion proximal to the surgical zone, which was diagnosed after fixation of a medial tibial plateau fracture and posterior cruciate avulsion injury. In dashboard injuries without knee dislocation, the arterial intima may be injured and become vulnerable, even with an initial ankle brachial index greater than 0.9. This can cause concomitant occlusion of the popliteal artery due to iatrogenic retraction during surgery. Therefore, a neurovascular examination should be repeated to prevent delayed-onset thrombosis. To the best of our knowledge, this is the first case of popliteal artery injury concomitant with a tibial plateau fracture and PCL avulsion owing to initial dashboard injury-related arterial intima injury, which can present with a normal ankle brachial index. SAGE Publications 2019-09-12 /pmc/articles/PMC7593672/ /pubmed/31510833 http://dx.doi.org/10.1177/0300060519869073 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Special Issue: Current treatment in orthopaedic surgery
Li, Yi-Syuan
Lin, Kai-Cheng
Chen, Chun-Yu
Tarng, Yih-Wen
Chang, Wei-Ning
Popliteal artery occlusion concomitant with a tibial plateau fracture and posterior cruciate ligament avulsion fracture
title Popliteal artery occlusion concomitant with a tibial plateau fracture and posterior cruciate ligament avulsion fracture
title_full Popliteal artery occlusion concomitant with a tibial plateau fracture and posterior cruciate ligament avulsion fracture
title_fullStr Popliteal artery occlusion concomitant with a tibial plateau fracture and posterior cruciate ligament avulsion fracture
title_full_unstemmed Popliteal artery occlusion concomitant with a tibial plateau fracture and posterior cruciate ligament avulsion fracture
title_short Popliteal artery occlusion concomitant with a tibial plateau fracture and posterior cruciate ligament avulsion fracture
title_sort popliteal artery occlusion concomitant with a tibial plateau fracture and posterior cruciate ligament avulsion fracture
topic Special Issue: Current treatment in orthopaedic surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7593672/
https://www.ncbi.nlm.nih.gov/pubmed/31510833
http://dx.doi.org/10.1177/0300060519869073
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