EVALUATION OF THE EARLY TREATMENT RESULTS OF POPLITEAL ARTERIAL INJURY IN KNEE FRACTURE AT CAN THO CENTRAL GENERAL HOSPITAL FROM 2021 TO 2023

Anh Tuan Nguyen1,, Ha Nam Anh Tang 2, Thong Em Huynh 3
1 Can Tho University of Medicine and Pharmacy
2 Tam Anh Hospital
3 Can Tho Central General Hospital

Main Article Content

Abstract

Background: The knee is a special structure that ensures the function of the lower limb, this is also the area that is easily injured when an accident occurs. Knee fractures, especially accompanied by popliteal artery injury, if not diagnosed and treated in time can lead to disability, even death. Objective: To evaluate the results of treatment of popliteal artery injuries in knee fractures. Materials and methods: Patients with popliteal artery injury in knee trauma were diagnosed determined based on computed tomography angiography, surgical treatment to restore blood circulation. Success was assessed by limb survival and blood circulation after surgery. Data analysis using SPSS 20.0 software. Results: There were 43 patients with knee fracture and popliteal artery injury who underwent surgical repair of popliteal artery circulation. The average age of this patient group was about 32.09 ± 13.05, with 67.44% being male. The average acute limb ischemia time was 7.54 ± 3.62 hours. Among them, there were 6 cases of late arterial occlusion after more than 24 hours of hospitalization. There were 2 cases of limb amputation, accounting for 4.65%. There were 20,93% of patients who had arterial re-occlusion after the first surgery and needed reoperation. Conclusions: Popliteal artery injury is a severe injury in the lower limb, which can result in limb amputation or even death in patients. It is necessary to diagnose early and treat properly to contribute to saving the limb and limiting complications.

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References

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