Evidence map›Paper›PMID 36847787›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023

Therapeutic management and amputation options in a long time delayed blunt popliteal artery injury.

Cheng Qiu, Lin Cheng, Lianlei Wang, Zhenfeng Li, Xinyu Liu

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Cheng Qiu *Department of Orthopaedic Surgery, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, 250012, Shandong, People's Republic of China.ORCID http://orcid.org/0000-0002-8766-5499
Lin Cheng *Cheeloo College of Medicine, Shandong University, Jinan, 250012, Shandong, People's Republic of China.
Lianlei WangDepartment of Orthopaedic Surgery, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, 250012, Shandong, People's Republic of China.
Zhenfeng LiDepartment of Orthopaedic Surgery, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, 250012, Shandong, People's Republic of China. zhenfengli163@163.com.
Xinyu LiuDepartment of Orthopaedic Surgery, Qilu Hospital of Shandong University, 107 Wenhuaxi Road, Jinan, 250012, Shandong, People's Republic of China. newyuliu@163.com.
Qilu Hospital of Shandong University · CNShandong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the experience of treatment on blunt traumatic popliteal artery injury (PAI) combined orthopedic injuries and determine the amputation-associated factors.

methodsFrom January 2008 to December 2019, 55 patients in level I trauma center with traumatic blunt PAI were retrospectively reviewed. Variables were retrospectively collected and statistically analyzed. Patients with PAI with limb selvage, primary amputation, and secondary amputation were retrospectively grouped and compared.

resultsA total of 55 patients with a median age of 41.4 years (range 18-70), of which 45 were males (81.8%) and 10 were females (18.2%), were enrolled. The overall amputation rate was 36.4% because 88.6% of patients faced more than 6 h of delay before treatment. The average injury severe score (ISS) and abbreviated injury score (AIS) were 10.4 (range 9-34) and 8.2 (range 5-16), respectively. Multivariate regression analysis showed that the number of hospitalization days was a significantly related factor to amputation. After a median follow-up of 56 months (range 12-132), no death, another limb loss, or claudication was found in all patients.

conclusionsPatients with PAI are commonly accompanied by multiple injuries that increase the risk of amputation; therefore, timely treatments are urgently required. Reducing the severity of ischemia by fasciotomy, not losing time by performing preoperative imaging or diagnostic tests, and repairing the associated venous injury can help to optimize the rates of limb salvage. However, impact factors, such as the gender and age of the patient, injured mechanisms, concomitant injuries, AIS, ISS, and surgical times, are not associated with the outcomes of amputation. Nonetheless, endeavors to salvage the limbs as far as possible should be made.

Indexed as

Vascular System InjuriesWounds, NonpenetratingAdolescentAdultAgedAmputation, SurgicalFemaleHumansLimb SalvageMaleMiddle AgedPopliteal ArteryRetrospective StudiesTreatment OutcomeYoung AdultBlood vesselsBlunt injuryDislocationFracturePopliteal artery injuryTrauma

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PMID36847787
OpenAlexW4322496831

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.