J Korean Fract Soc.  1990 May;3(1):40-45. 10.12671/jksf.1990.3.1.40.

Yvascular Injuries Associated with Fracture and Dislocastion of the Knee

• Kim SJ
• Choi IY
• Cho JL
• Chung ST

• KMID: 2311244
• DOI: http://doi.org/10.12671/jksf.1990.3.1.40

Abstract

Injury of the popliteal artery associated with fracture and dislocastion of the knee is uncommon, But, when the fracture and dislocation of the knee occurs, it frequently associated with vascular injuries, and vascular injury can be a very serious one because of ischemia that necessitates amputation. Sixteen vascular injuries combined by fractures and dislocation of the knee between March, 1985 and February, 1989 have been reviewed and the results are as follows. 1. There were 11 cases of proximal tibial fracture, 2 cases of distal femoral fracture and 3 cases of knee dislocation. 2. The site of injury which is proximal to insertion of the soleus muscle were 15 cases. 3. There were contusion in 11 cases, rupture in 4 cases and laceration in 1 case. 4. One of the 2 cases(50%) that were treated within 12 hours after injury survived, while two to 10 cases(20%) that were treated after 24 hours following injury survived. 5. The open reduction and internal fixation was done in 5 cases, the skeletal traction in 1 case, and cast immobilization in 10 cases. 6. Finally, the B-K amputation was done in 4 cases, A-K amputation in 6 cases, knee disarticulation in 2 cases.

Keyword

Fracture and dislocation of the knee; Complication-Arterial injury

MeSH Terms

Amputation
Contusions
Disarticulation
Dislocations
Femoral Fractures
Immobilization
Ischemia
Knee Dislocation
Knee*
Lacerations
Muscle, Skeletal
Popliteal Artery
Rupture
Tibial Fractures
Traction
Vascular System Injuries