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Peripheral knee joint fracture or dislocation with popliteal artery trauma

HU Jian-hua,LI Bang-chun(Department of Orthopaedics,Chongqing Emergency Medical Center,Chongqing 400014.China)  
Objective To summarize early diagnosis and treatment the clinical effect of peripheral knee joint fracture or dislocation with popliteal artery injury.Methods 26 cases of peripheral knee joint fracture or dislocation with popliteal artery trauma were treated from April 1994 to August 2007.It was early diagnosis,technique of vascular exploration,repair of arterial injury and used simple,stabile fixation fracture should be taken.Results Following-up time 6 mouths,lower extremity circulation excellence was 21 cases,according to Whitman grade system: 14 cases was good.Although the factor of nervous and fracture there were 7 cases,the function recovery of knee joint 12 to 18 mouths after injury,but clinical effects was good,5 cases was amputed.Conclusion When peripheral knee joint fracture or dislocation is existence,popliteal vascular injury should be higher suspicioned.The clinical examination,ultrasonic Doppler,angiography were used,avoid missing diagnosis.It is early technique of vascular exploration,repair of arterial injury,fixation fracture can provid effects are satisfactory.
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