Journal List > J Korean Soc Fract > v.3(1) > 1077974

TOOLS
Kim, Choi, Cho, and Chung: Yvascular Injuries Associated with Fracture and Dislocastion of the Knee
Original Article

Journal of the Korean Society of Fractures 1990; 3(1): 40-45.

Published online: 14 July 2016

DOI: https://doi.org/10.12671/jksf.1990.3.1.40

Yvascular Injuries Associated with Fracture and Dislocastion of the Knee

Sung Joon Kim, Il Yong Choi, Jae Lim Cho, Soo Tai Chung

Department of Orthopaedics Surgery, Hanyang University College of Medicine, Seoul, Korea.

Copyright © The Korean Fracture Society

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.

Keywords: Fracture and dislocation of the knee, Complication-Arterial injury

TOOLS
Similar articles