Popliteal Artery Injury in Traumatic Knee Dislocation and its Relationship to Body Mass Index

Background: Popliteal artery injury is an uncommon complication of traumatic tibio-femoral dislocation. This study looks at the relationship between vascular injury, body mass index and outcomes of patients with tibio-femoral dislocation. Methods: In this series, patients with vascular injury w...

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Bibliographic Details
Main Authors: Patrick Harnarayan, Michael Ramdass, Trevor Seepaul, Shiva Chackan, Shariful Islam
Format: Article
Language:English
Published: ADICHUNCHANAGIRI INSTITUTE OF MEDICAL SCIENCES 2025-03-01
Series:Journal of Medical Sciences and Health
Online Access:https://jmsh.ac.in/articles/popliteal-artery-injury-in-traumatic-knee-dislocation-and-its-relationship-to-body-mass-index
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Summary:Background: Popliteal artery injury is an uncommon complication of traumatic tibio-femoral dislocation. This study looks at the relationship between vascular injury, body mass index and outcomes of patients with tibio-femoral dislocation. Methods: In this series, patients with vascular injury were selected from those who had tibio-femoral dislocations. There were 42 patients, 11 of whom had popliteal artery trauma with 10 requiring arterial reconstruction. Results: There were six arterial contusions, three transections and one a complete avulsion with three concomitant venous and five nerve injuries. Most of the patients with arterial injury due to tibio-femoral dislocation were found to have a high body mass index. In addition, those patients who had poor outcomes such as major amputation, unstable knee joints and delayed rehabilitation were either obese or morbidly obese. Conclusion: Patients with high Body Mass Indices who are either obese or grossly obese appear to have a greater chance of tibio-femoral dislocation especially after trivial injuries and are more likely have delayed or missed arterial injuries than the non-obese population. They are also more prone to complications than non-obese patients with overall poorer outcomes. Keywords: Tibio-femoral-dislocation, Popliteal-arterial-injury, Obesity, Morbid obesity, Limb-loss
ISSN:2394-9481
2394-949X