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Adolesanda Diz Çıkığı Nedeniyle Yavaş İlerleyen Popliteal Arter Oklüzyonu Sonrası Flep Nekrozu: Bir Olgu Sunumu

Year 2022, Volume: 9 Issue: 4, 532 - 535, 30.12.2022
https://doi.org/10.34087/cbusbed.1161954

Abstract

Popliteal arter oklüzyonu künt diz travması sonrası nadir görülen bir vasküler komplikasyondur ve tanıda geç kalındığında uzuv kaybına neden olabilir. Kollateral damarların gelişmesi, cerrahı defect rekonstrüksiyonu planı yapılırken yanıltabilir. Yüksekten düşme sonrası diz çıkığı sonucu popliteal arter tıkanıklığı olan bir hastayı sunuyoruz. Serbest flep ile rekonstrüksiyondan sonra, ayakta iskemi gözlendi ve arteriyografi ile kollateral arterler ve popliteal arterin oklüzyonunu doğruladı. Hastaya femoro-popliteal bypas ameliyatı yapıldı. Granülasyon oluşmasını takiben çapraz bacak serbest flep ile defekt rekonstrükte edildi.

References

  • Barmparas, G, Inaba, K, Talving, P, et al., Pediatric vs adult vascular trauma: A National Trauma Databank review, Journal of Pediatric Surgery. 2010, 45(7), 1404-1412.
  • Stannard, J.P, Schreiner, A.J, Vascular Injuries following Knee Dislocation, Journal of Knee Surgery, 2020, 33(4), 351-356.
  • Chapman, J.A, Popliteal artery damage in closed injuries of the knee, The Journal of Bone and Joint Surgery, 1985, 67(3), 420-423.
  • Abou-Sayed H, Berger D.L. Blunt Lower-Extremity Trauma and Popliteal Artery Injuries, Archives of Surgery. 2002, 137(5).
  • Guo M.M.H, Chuech, L.S.J, Yang, C.H, Wu, C.J, Guo, G.B.F, Popliteal artery occlusion in a young baseball athlete, Circulation Journal, 2007, 71(2), 283-285.
  • Kim, J.W, Sung, C.M, Cho, S.H, Hwang, S.C, Vascular injury associated with blunt trauma without dislocation of the knee, Yonsei Medical Journal, 2010, 51(5), 790-792.
  • Reid, J.J, Kremen, T.J, Oppenheim,. W.L, Death After Closed Adolescent Knee Injury and Popliteal Artery Occlusion: A Case Report and Clinical Review, Sports Health, 2013,5(6),558-561.
  • Imerci, A, Özaksar, K, Gürbüz, Y, Sügün, T.S, Canbek, U, Savran, A, Popliteal artery injury associated with blunt trauma to the knee without fracture or dislocation, West Jounal of Emergency Medicine, 2014, 15(2), 145-148.
  • Bali, Z.U, Karatan, B, Tuluy, Y, Kececi, Y, Yoleri, L, Preserving the Blood Flow of the Recipient Artery in Cross-Leg Free Flap Procedure for Lower Extremity Reconstruction, The International Journal of Lower Extremity Wounds, 2020, 19(3), 255-261.
  • Stayner, L.R, Coen, M.J, Historic perspectives of treatment algorithms in knee dislocation, Clinical Sports Medicine, 2000, 19(3), 399-413
  • Shinomiya, R, Sunagawa,, T, Nakashima Y, Nakabayashi, A, Makitsubo, M, Adachi, N, Slow progressive popliteal artery insufficiency after neglected proximal tibial physeal fracture: A case report, Journal of Pediatric Orthopedy Part B, 2018, 27(1), 35-39.
  • Wagner, W.H, Calkins, E.R, Weaver, F.A, Goodwin, J.A, Myles, R.A, Yellin,. A.E, Blunt popliteal artery trauma: One hundred consecutive injuries, Journal of Vascular Surgery, 1988, 7(5), 736-748.
  • Stannard, J, Sheils, T, Lopez-Ben, R, McGwin, G.J, Robinson, J, Volgas, D, Vascular injuries in knee dislocations: the role of physical examination in determining the need for arteriography, J Bone Joint Surgery, 2004, 86(5), 910-915.
  • Godfrey, A.D, Hindi, F, Ettles, C, Pemberton, M, Grewa,l P, Acute Thrombotic Occlusion of the Popliteal Artery following Knee Dislocation: A Case Report of Management, Local Unit Practice, and a Review of the Literature, Case Report Surgery, 2017, 2017, 1-5.
  • Schaper, W, Collateral circulation. Past and present, Basic Research in Cardiology, 2009, 104(1), 5-21.
  • Kruse, R.R, Doomernik, D.E, Maltha, K.V, Kooloos, J.G.M, Kozicz, T.L, Reijnen, M.M.P.J, Collateral artery pathways of the femoral and popliteal artery, Journal of Surgical Research, 2017, 211, 45-52.
  • Macchi, C, Catini, C, Giannelli, F, et al., Collateral circulation in distal occlusion of lower limb arteries: an anatomical study and statistical research in 40 elderly subjects by echo-color-Doppler method, Italian Journal of Anatomy Embryoogy, 1996, 101(4), 221-227.

Flap Necrosis after Slow Progressing Popliteal Artery Occlusion due to Knee Dislocation of an Adolescent: A Case Report

Year 2022, Volume: 9 Issue: 4, 532 - 535, 30.12.2022
https://doi.org/10.34087/cbusbed.1161954

Abstract

Abstract
Popliteal artery occlusion is a rare vascular complication after blunt knee trauma and may lead to limb loss if diagnosis is delayed. Development of collateral pathways may misguide the surgeon in planning surgeries for defect reconstruction. We report a case of a patient with popliteal artery occlusion resulting from dislocation of knee after fall from height, which developed a defect anteromedial to ankle following orthopedic surgery. After reconstruction with a free flap, ischemia was observed in foot and arteriography confirmed the occlusion of popliteal artery with well-developed collateral arteries. The patient underwent femoro-popliteal bypass surgery for limb salvation. At the end of the recovery time, the defect was reconstructed with cross leg free flap

References

  • Barmparas, G, Inaba, K, Talving, P, et al., Pediatric vs adult vascular trauma: A National Trauma Databank review, Journal of Pediatric Surgery. 2010, 45(7), 1404-1412.
  • Stannard, J.P, Schreiner, A.J, Vascular Injuries following Knee Dislocation, Journal of Knee Surgery, 2020, 33(4), 351-356.
  • Chapman, J.A, Popliteal artery damage in closed injuries of the knee, The Journal of Bone and Joint Surgery, 1985, 67(3), 420-423.
  • Abou-Sayed H, Berger D.L. Blunt Lower-Extremity Trauma and Popliteal Artery Injuries, Archives of Surgery. 2002, 137(5).
  • Guo M.M.H, Chuech, L.S.J, Yang, C.H, Wu, C.J, Guo, G.B.F, Popliteal artery occlusion in a young baseball athlete, Circulation Journal, 2007, 71(2), 283-285.
  • Kim, J.W, Sung, C.M, Cho, S.H, Hwang, S.C, Vascular injury associated with blunt trauma without dislocation of the knee, Yonsei Medical Journal, 2010, 51(5), 790-792.
  • Reid, J.J, Kremen, T.J, Oppenheim,. W.L, Death After Closed Adolescent Knee Injury and Popliteal Artery Occlusion: A Case Report and Clinical Review, Sports Health, 2013,5(6),558-561.
  • Imerci, A, Özaksar, K, Gürbüz, Y, Sügün, T.S, Canbek, U, Savran, A, Popliteal artery injury associated with blunt trauma to the knee without fracture or dislocation, West Jounal of Emergency Medicine, 2014, 15(2), 145-148.
  • Bali, Z.U, Karatan, B, Tuluy, Y, Kececi, Y, Yoleri, L, Preserving the Blood Flow of the Recipient Artery in Cross-Leg Free Flap Procedure for Lower Extremity Reconstruction, The International Journal of Lower Extremity Wounds, 2020, 19(3), 255-261.
  • Stayner, L.R, Coen, M.J, Historic perspectives of treatment algorithms in knee dislocation, Clinical Sports Medicine, 2000, 19(3), 399-413
  • Shinomiya, R, Sunagawa,, T, Nakashima Y, Nakabayashi, A, Makitsubo, M, Adachi, N, Slow progressive popliteal artery insufficiency after neglected proximal tibial physeal fracture: A case report, Journal of Pediatric Orthopedy Part B, 2018, 27(1), 35-39.
  • Wagner, W.H, Calkins, E.R, Weaver, F.A, Goodwin, J.A, Myles, R.A, Yellin,. A.E, Blunt popliteal artery trauma: One hundred consecutive injuries, Journal of Vascular Surgery, 1988, 7(5), 736-748.
  • Stannard, J, Sheils, T, Lopez-Ben, R, McGwin, G.J, Robinson, J, Volgas, D, Vascular injuries in knee dislocations: the role of physical examination in determining the need for arteriography, J Bone Joint Surgery, 2004, 86(5), 910-915.
  • Godfrey, A.D, Hindi, F, Ettles, C, Pemberton, M, Grewa,l P, Acute Thrombotic Occlusion of the Popliteal Artery following Knee Dislocation: A Case Report of Management, Local Unit Practice, and a Review of the Literature, Case Report Surgery, 2017, 2017, 1-5.
  • Schaper, W, Collateral circulation. Past and present, Basic Research in Cardiology, 2009, 104(1), 5-21.
  • Kruse, R.R, Doomernik, D.E, Maltha, K.V, Kooloos, J.G.M, Kozicz, T.L, Reijnen, M.M.P.J, Collateral artery pathways of the femoral and popliteal artery, Journal of Surgical Research, 2017, 211, 45-52.
  • Macchi, C, Catini, C, Giannelli, F, et al., Collateral circulation in distal occlusion of lower limb arteries: an anatomical study and statistical research in 40 elderly subjects by echo-color-Doppler method, Italian Journal of Anatomy Embryoogy, 1996, 101(4), 221-227.
There are 17 citations in total.

Details

Primary Language English
Subjects Surgery
Journal Section Olgu Sunumu
Authors

Merve Özkaya Ünsal 0000-0002-0286-0149

Zülfükar Ulaş Bali 0000-0001-6894-3900

Yavuz Tuluy 0000-0002-5451-4459

Aziz Parspancı 0000-0002-7468-712X

Publication Date December 30, 2022
Published in Issue Year 2022 Volume: 9 Issue: 4

Cite

APA Özkaya Ünsal, M., Bali, Z. U., Tuluy, Y., Parspancı, A. (2022). Flap Necrosis after Slow Progressing Popliteal Artery Occlusion due to Knee Dislocation of an Adolescent: A Case Report. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 9(4), 532-535. https://doi.org/10.34087/cbusbed.1161954
AMA Özkaya Ünsal M, Bali ZU, Tuluy Y, Parspancı A. Flap Necrosis after Slow Progressing Popliteal Artery Occlusion due to Knee Dislocation of an Adolescent: A Case Report. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. December 2022;9(4):532-535. doi:10.34087/cbusbed.1161954
Chicago Özkaya Ünsal, Merve, Zülfükar Ulaş Bali, Yavuz Tuluy, and Aziz Parspancı. “Flap Necrosis After Slow Progressing Popliteal Artery Occlusion Due to Knee Dislocation of an Adolescent: A Case Report”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 9, no. 4 (December 2022): 532-35. https://doi.org/10.34087/cbusbed.1161954.
EndNote Özkaya Ünsal M, Bali ZU, Tuluy Y, Parspancı A (December 1, 2022) Flap Necrosis after Slow Progressing Popliteal Artery Occlusion due to Knee Dislocation of an Adolescent: A Case Report. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 9 4 532–535.
IEEE M. Özkaya Ünsal, Z. U. Bali, Y. Tuluy, and A. Parspancı, “Flap Necrosis after Slow Progressing Popliteal Artery Occlusion due to Knee Dislocation of an Adolescent: A Case Report”, CBU-SBED: Celal Bayar University-Health Sciences Institute Journal, vol. 9, no. 4, pp. 532–535, 2022, doi: 10.34087/cbusbed.1161954.
ISNAD Özkaya Ünsal, Merve et al. “Flap Necrosis After Slow Progressing Popliteal Artery Occlusion Due to Knee Dislocation of an Adolescent: A Case Report”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 9/4 (December 2022), 532-535. https://doi.org/10.34087/cbusbed.1161954.
JAMA Özkaya Ünsal M, Bali ZU, Tuluy Y, Parspancı A. Flap Necrosis after Slow Progressing Popliteal Artery Occlusion due to Knee Dislocation of an Adolescent: A Case Report. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2022;9:532–535.
MLA Özkaya Ünsal, Merve et al. “Flap Necrosis After Slow Progressing Popliteal Artery Occlusion Due to Knee Dislocation of an Adolescent: A Case Report”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, vol. 9, no. 4, 2022, pp. 532-5, doi:10.34087/cbusbed.1161954.
Vancouver Özkaya Ünsal M, Bali ZU, Tuluy Y, Parspancı A. Flap Necrosis after Slow Progressing Popliteal Artery Occlusion due to Knee Dislocation of an Adolescent: A Case Report. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2022;9(4):532-5.