MMSL 2020, 89(2):108-112 | DOI: 10.31482/mmsl.2020.004

LUXATION OF THE KNEE JOINT COMPLICATED BY THE INJURY OF THE POPLITEAL ARTERYCase report

Karel Šmejkal ORCID...1,2, Jan Šimek ORCID...1,2*, Tomáš Dědek ORCID...2,3, Jiří Páral ORCID...1,2,3
1 Katedra vojenské chirurgie, Fakulta vojenského zdravotnictví Hradec Králové, Univerzita obrany v Brně
2 Oddělení úrazové chirurgie, Chirurgická klinika, Fakultní nemocnice Hradec Králové
3 Katedra chirurgie, Lékařská fakulta Univerzity Karlovy v Hradci Králové

Luxace kolenního kloubu je poměrně vzácný vysokoenergetický úraz s postižením všech struktur kolenního kloubu s výskytem mnoha časných i pozdních komplikací. Zatímco samotná diagnóza nečiní obtíže, komplikace jako poranění a. poplitea nebo rozvoj kompartment syndromu jsou klíčové a mohou uniknout pozornosti a je třeba po nich aktivně pátrat. Autoři v této kazuistice prezentují jeden takový případ luxace kolene s poraněním a. poplitea. Řešením byla revaskularizace popliteopopliteálním bypassem s použitím autologního štěpu v. saphena magna a trombektomie bércových tepen a protektivní fasciotomie pro hrozící kompartment syndrom.

Keywords: luxace kolene; léze a. poplitea; angiografie; ankle brachial index; kompartment syndrom; fasciotomie

Luxation of the knee joint is a relatively rare high-energy injury with a disability of all knee joints with many early and late complications. While the diagnosis itself does not make it difficult, complications such as lesion of popliteal artery or compartment syndrome are key points and can escape attention and are needed to be actively pursued. One such case of knee luxation with revascularization by  popliteopopliteal bypass using the autologous graft v. Saphena magna and thrombectomy of the leg arteries and protective fasciotomy for impending compartment syndrome is presented by the authors in this case study.

Keywords: knee luxation; lesions of popliteal artery; angiography; ankle brachial index; compartment syndrome; fasciotomy

Received: July 10, 2019; Revised: January 17, 2020; Accepted: February 17, 2020; Prepublished online: March 10, 2020; Published: June 5, 2020  Show citation

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Šmejkal, K., Šimek, J., Dědek, T., & Páral, J. (2020). LUXATION OF THE KNEE JOINT COMPLICATED BY THE INJURY OF THE POPLITEAL ARTERY. MMSL, 89(2), 108-112. doi: 10.31482/mmsl.2020.004
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