engleski

Popliteal artery injury after anterior knee dislocation

Anterior knee dislocation is a rare injury and is frequently associated with injuries of other structures in popliteal fossa. We report a case of popliteal artery transection in young, obese female after trauma with anterior knee dislocation. Early diagnosis and prompt revascularization are mandatory for successful and functional result and still poses a significant surgical challenge despite technical improvements in management of such injuries. Background: This study of patients who rece either aggressive or less-aggressive treatmen superficial venous disease was undertaken to its effects on deep venous insufficiency (DVI Methods: From 2002 to 2005, we treated 40 consecutive patients with superficial venous at our outpatient care center. A total of 100 were available for the study ; the remaining på were not available for the complete follow-u scans 6 months after therapy, irrespective of therapeutic results. Sixty-four patients under aggressive therapy, which included high ligatic partial selective perforation- invagination (PIN stripping of the greater saphenous vein, ambu stab phlebectomy of the varicose veins, and t treatment of the spider veins. Thirty-six patie underwent less-aggressive treatment, which i high ligation with selective partial PIN axial st of the greater saphenous vein and ambulator phlebectomy of varicose vein clusters but no vein treatment. Results: Follow-up duplex scanning after aggr treatment of superficial venous disease show improvement or complete reversal of DVI in majority of patients. This improvement was de as a marked decrease in the size of the deep 80% of patients and a decrease of the reflux time of the deep venous valves in 83% of pati 28% of patients receiving less-aggressive treat without transdermal laser therapy of the spid showed improvement in their reflux valve cia the remaining 72% were unchanged or deteri Conclusions: Aggressive treatment of superfic disease can prevent or even eliminate deep vi insufficiency (DVI).

popliteal artery injury ; anterior knee dislocation

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