PDF(Pubmed)
Abstract：
BACKGROUND: Among arterial traumas, osteoarticular traumas are particularly dangerous, and those involving the popliteal artery are associated with a high amputation rate. Despite representing a minority of arterial traumas, with an incidence that varies considerably by population and geographic location, traumatic lesions of the popliteal artery are challenging. This study aimed to verify the impact of body mass index (BMI) on arterial trauma damage and patient outcomes.
METHODS: Data were retrospectively collected from the electronic medical reports of all patients with osteoarticular and vascular associated lesions treated in the emergency operating room at our institution between 1 January 2005 and 1 May 2022. Forty-one patients presented with lower limb arterial trauma (43.2%); popliteal artery lesions occurred in 11 of these patients (26.8%), who were eligible for inclusion in the study. The lesion mechanism was dislocation by high-velocity trauma in 9 patients and dislocation by low-velocity trauma in 3 patients. All 7 males (63.6%) experienced high-velocity trauma, and 2 of the 3 females experienced low-velocity trauma. Only one patient had an isolated popliteal artery lesion associated with fractures in the leg or the contralateral limb. Patients with low-velocity trauma were older than 54 years, while those with high-velocity trauma were aged 22 to 71 years.
RESULTS: In 10/11 patients (90.9%), revascularization was performed after osteoarticular stabilization and reduction of the dislocation or fracture. Intraoperative angiography was selectively used. Two patients required above-the-knee amputation after the procedure: one due to infection of the surgical access point and the other due to severe soft tissue injury. One patient died during hospitalization due to trauma-related complications and comorbidities.
CONCLUSIONS: High-velocity trauma and low-velocity trauma in patients with a body mass index > 35 kg/m2 and knee lesions are associated with popliteal artery lesions. Revascularization success is not associated with high- or low-velocity trauma.
METHODS: Data were retrospectively collected from the electronic medical reports of all patients with osteoarticular and vascular associated lesions treated in the emergency operating room at our institution between 1 January 2005 and 1 May 2022. Forty-one patients presented with lower limb arterial trauma (43.2%); popliteal artery lesions occurred in 11 of these patients (26.8%), who were eligible for inclusion in the study. The lesion mechanism was dislocation by high-velocity trauma in 9 patients and dislocation by low-velocity trauma in 3 patients. All 7 males (63.6%) experienced high-velocity trauma, and 2 of the 3 females experienced low-velocity trauma. Only one patient had an isolated popliteal artery lesion associated with fractures in the leg or the contralateral limb. Patients with low-velocity trauma were older than 54 years, while those with high-velocity trauma were aged 22 to 71 years.
RESULTS: In 10/11 patients (90.9%), revascularization was performed after osteoarticular stabilization and reduction of the dislocation or fracture. Intraoperative angiography was selectively used. Two patients required above-the-knee amputation after the procedure: one due to infection of the surgical access point and the other due to severe soft tissue injury. One patient died during hospitalization due to trauma-related complications and comorbidities.
CONCLUSIONS: High-velocity trauma and low-velocity trauma in patients with a body mass index > 35 kg/m2 and knee lesions are associated with popliteal artery lesions. Revascularization success is not associated with high- or low-velocity trauma.
摘要：
背景：在动脉创伤中，骨关节创伤特别危险,累及the动脉的截肢率高。尽管代表了少数动脉创伤，发病率因人口和地理位置而异，pop动脉的创伤性病变具有挑战性。本研究旨在验证体重指数（BMI）对动脉创伤损伤和患者预后的影响。
方法：回顾性收集了2005年1月1日至2022年5月1日在我院急诊手术室治疗的所有骨关节和血管相关病变患者的电子医疗报告。41例患者表现为下肢动脉损伤(43.2%);11例患者中发生the动脉病变(26.8%),符合纳入研究资格的人.病变机制为9例高速创伤脱位，3例低速创伤脱位。所有7名男性（63.6%）都经历了高速创伤，3名女性中有2名经历了低速创伤。只有一名患者患有与腿部或对侧肢体骨折相关的孤立的the动脉病变。低速创伤患者年龄超过54岁，而高速创伤患者的年龄为22至71岁。
结果：在10/11患者（90.9%）中，在骨关节稳定和脱位或骨折复位后进行血运重建。选择性使用术中血管造影。两名患者在手术后需要进行膝上截肢：一名是由于手术进入点感染，另一名是由于严重的软组织损伤。一名患者在住院期间因创伤相关并发症和合并症死亡。
结论：在体重指数>35kg/m2且膝关节病变的患者中，高速创伤和低速创伤与the动脉病变相关。血运重建成功与高或低速度创伤无关。
方法：回顾性收集了2005年1月1日至2022年5月1日在我院急诊手术室治疗的所有骨关节和血管相关病变患者的电子医疗报告。41例患者表现为下肢动脉损伤(43.2%);11例患者中发生the动脉病变(26.8%),符合纳入研究资格的人.病变机制为9例高速创伤脱位，3例低速创伤脱位。所有7名男性（63.6%）都经历了高速创伤，3名女性中有2名经历了低速创伤。只有一名患者患有与腿部或对侧肢体骨折相关的孤立的the动脉病变。低速创伤患者年龄超过54岁，而高速创伤患者的年龄为22至71岁。
结果：在10/11患者（90.9%）中，在骨关节稳定和脱位或骨折复位后进行血运重建。选择性使用术中血管造影。两名患者在手术后需要进行膝上截肢：一名是由于手术进入点感染，另一名是由于严重的软组织损伤。一名患者在住院期间因创伤相关并发症和合并症死亡。
结论：在体重指数>35kg/m2且膝关节病变的患者中，高速创伤和低速创伤与the动脉病变相关。血运重建成功与高或低速度创伤无关。
