Trafik Kazası Yaralanmasına Bağlı Alt Ekstremite Dolaşım Bozukluğu Olan Hastanın Sıralı Kompozit Greft Kullanılarak Revaskülarizasyonu: Olgu Sunumu

Abstract

Traffic accidents are the most common cause of the lower extremity injury among the young adults. Circulatory problems due to vascular injury, such as total or partial rupture of venous and arterial system are the significant cause of the morbidity related to this kind of trauma. In these cases, revascularization should be the first option to rescue the extremity unless the patient is stable; otherwise, amputation can be performed. Here we reported a patient with multifragment fracture of femur, wide destruction of the soft tissue and popliteal artery injury of the left lower extremity due to the traffic accident, who was treated with late synchronous revascularization with composite graft and saphenous vein.

Keywords

• : Lower Extremity
• Revascularization
• Amputation
• Vascular Graft

References

1. 1. Stranix JT, Anzai L, Mirrer J, et al. Dual venous outflow improves lower extremity trauma free flap reconstructions. J Surg Res. 2016;202:235-238.
2. 2. Lang NW, Joestl JB, Platzer P. Characteristics and clinical outcome in patients after popliteal artery injury. J Vasc Surg. 2015;61:1495-1500.
3. 3. Hafez HM, Woolgar J, Robbs JV. Lower extremity arterial injury: results of 550 cases and review of risk factors associated with limb loss. J Vasc Surg. 2001;33:1212-1219.
4. 4. Langer V. Management of major limb injuries. Scientific World Journal. 2014;2014:640430.
5. 5. Khan MI. ur Rahman H, Mufti N. Patency of Reverse Saphenous Vein Graft for Revascularization of Lower Limbs in Diabetic Patients. Int J Vasc Surg Med. 2016;2:20-23.
6. 6. Elniel AR, Giannoudis PV. Open fractures of the lower extremity: Current management and clinical outcomes. EFORT Open Rev. 2018;3:316-325.
7. 7. Werner CM, Pierpont Y, Pollak AN. The urgency of surgical débridement in the management of open fractures. J Am Acad Orthop Surg. 2008;16:369- 375.
8. 8. Kilic A, Arnaoutakis DJ, Reifsnyder T, et al. Management of infected vascular grafts. Vasc Med. 2016;21:53-60.

9. 9. Kysela P, Silhart Z. Vascular Graft Infection-A Single Centre Analysis. J Vasc Med Surg. 2015;1:1-6.
10. 10. Murphy GJ, Pararajasingam R, Nasim A, et al. Methicillin-resistant Staphylococcus aureus infection in vascular surgical patients. Ann R Coll Surg Engl. 2001;83:158 163.
11. 11. Ratliff CR, Strider D, Flohr T, et al. Vascular Graft Infection: Incidence and Potential Risk Factors. J Wound Ostomy Continence Nurs. 2017;44:524-527