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BACKGROUND Popliteal artery injuries continue to result in limb loss. This study identifies risk factors that predict amputation. METHODS Over a 5-year period, a retrospective chart review was conducted of 80 consecutive patients with 81 popliteal artery injuries. RESULTS The overall amputation rate was 16.5%. Blunt trauma carried a higher rate of amputation (47%) than penetrating injuries (6.2%); P < 0.0001). Associated fractures had a higher amputation rate, regardless of mechanism (odds ratio +2.7, 95% confidence limits 1.2 to 6.2). Fasciotomy at the time of operation was associated with reduced amputation rate. CONCLUSIONS Blunt injuries and associated fractures carry an increased risk for amputation. Compartmental pressures should be appropriately monitored postoperatively. Fasciotomy at the time of vascular repair may be considered even without evidence of compartment syndrome.
G Fainzilber, and
A Roy-Shapira, and
M J Wall, and
K L Mattox
April 2010,
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G Fainzilber, and
A Roy-Shapira, and
M J Wall, and
K L Mattox
January 2024,
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G Fainzilber, and
A Roy-Shapira, and
M J Wall, and
K L Mattox
February 1997,
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G Fainzilber, and
A Roy-Shapira, and
M J Wall, and
K L Mattox
November 2012,
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G Fainzilber, and
A Roy-Shapira, and
M J Wall, and
K L Mattox
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G Fainzilber, and
A Roy-Shapira, and
M J Wall, and
K L Mattox
January 1980,
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G Fainzilber, and
A Roy-Shapira, and
M J Wall, and
K L Mattox
January 1978,
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G Fainzilber, and
A Roy-Shapira, and
M J Wall, and
K L Mattox
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G Fainzilber, and
A Roy-Shapira, and
M J Wall, and
K L Mattox
June 1978,
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G Fainzilber, and
A Roy-Shapira, and
M J Wall, and
K L Mattox
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