ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Iatrogenic injury of the popliteal artery in orthopedic knee surgery: clinical results and development of a therapeutic algorithm.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 9 citations in OpenAlex.
- Popliteal artery injury associated with multiligament knee injuries and tibial plateau fractures: A 20-year retrospective cohort study.Journal of experimental orthopaedics · 2026Article
- Popliteal Artery Injuries in Orthopedic Knee Surgery: A Narrative Review with an Italian Medico-Legal Perspective.Diseases (Basel, Switzerland) · 2026Review
- Intraoperative Ischemia Threshold and Outcomes of Emergency Vascular Repair During Orthopaedic Arthroplasty: A Time-Critical Analysis from a Dedicated On-Call Vascular Service.Journal of clinical medicine · 2026Article
- Early detection and nonsurgical management of popliteal artery thrombosis after high tibial osteotomy: two case reports.International journal of surgery case reports · 2026Article
- Popliteal Artery Injury Risk in Total Knee Arthroplasty Related to Anatomic Variations: A Scoping Review.Arthroplasty today · 2026Article
- [Treatment results after vascular extremity trauma-Initial results of the vascular trauma register Augsburg (VascTR-Aux)].Chirurgie (Heidelberg, Germany) · 2025Article
- Vascular Injury during Total Knee Replacement and Check List to Follow in its Management: Case Report.Journal of orthopaedic case reports · 2024Article
- Anatomical quantitative evaluation of popliteal artery visualization during medial approach in supine position.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
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Authors and funding
6 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeIntraoperative injury to the popliteal artery is a rare complication of orthopedic surgery, however, it can have serious consequences, including major amputation. Recommendations for a standard approach are lacking. The aim of this study was to develop an interdisciplinary therapeutic algorithm to assist in complication management.
methodsFrom 01/11 to 12/20, 16 arterial injuries after knee surgery were analyzed in a retrospective single-center study. Four cases involved recurrent orthopedic surgery. Procedures performed included eleven total knee arthoplasties (TKA), two TKA replacements, one arthroscopy, and two high tibial osteotomies. Clinical presentation of patients was hemorrhage (n = 2), ischemia (n = 7), the combination of both (n = 4), or pseudoaneurysm formation (n = 3).
resultsTen patients underwent endovascular treatment, some as combined procedures: (stent)-PTA (n = 6), aspiration thrombectomy (n = 5), thrombin injection (n = 1), and embolization (n = 1). Six patients were treated surgically: four with bypass/interposition and one with a patch plasty and one as a hybrid procedure, respectively. Only autologous great saphenous vein was used. All extremities could be preserved. Functional impairment remained in six cases.
conclusionBoth endovascular and surgical procedures can be used to treat arterial injuries after knee surgery. Efficient standardized diagnosis and the involvement of vascular expertise are essential to prevent functional impairment or limb loss, as suggested in the algorithms.
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