Özet:

Objective: Limb loss following popliteal and infrapopliteal traumatic arterial injury has serious implications on the patient’s life and functionality. The objective of this study is to review popliteal and infrapopliteal arterial injuries treated in our clinic retrospectively. Material and Methods: Between January 2012 and November 2018; 30 patients whom underwent emergency surgery due to traumatic popliteal and infrapopliteal arterial injuries were analyzed. Results: There were 27 (90%) males and 3 (10%) females. The mechanism of injuries was stab wounds in 43% of the cases (Group 1), gunshot wounds in 23,3% (Group 2) and blunt trauma in 33.3% (Group 3). The mean MESS score was 3.90 in all cases, while it was 3.15±1.57 in Group 1, 4±0.82 in Group 2 and 4.8±1.32 in Group 3. All 3 cases of amputation were resulted from blunt trauma. A shorter length of hospitalization was observed in patients with stab wounds compared to other injury types (p<0.001). Primary repair was performed in 8 (20.5%), reverse saphenous vein interposition in 20 (51.2%), and ligation was in 11 cases (28.2%). Compartment syndrome was developed in one patient in Group 1, 4 patients in Group 2 and 1 in Group 3. Three patients were undergone in group 3. Conclusion: It is important to provide accurate and rapid diagnosis by physical examination, appropriate imaging methods and providing revascularization with appropriate methods and performing fasciotomy, when necessary, in order to save the patient and related extremity

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