Popliteal artery trauma in a rural level I trauma center

Scott G. Sagraves, Anne M. Conquest, Robert J. Albrecht, Eric A. Toschlog, Paul J. Schenarts, Michael R. Bard, C. Steve Powell, Michael F. Rotondo

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Popliteal vascular trauma has historically been an urban phenomenon. We hypothesized that rural popliteal artery injury would result more often from blunt mechanisms of injury (MOI), have a longer time to operation, and result in a higher amputation rate. We retrospectively reviewed all cases of popliteal artery injury from December 1994 to May 2001 at our rural trauma center. Age, gender, Injury Severity Score (ISS), MOI, scene transport versus transfer from a referring hospital, time to operation, and operative times were studied. Significance was determined by Student's t test with a P value ≤0.05. Thirty-two popliteal artery injuries were found. Blunt trauma accounted for 50 per cent of the injuries. Eighty-eight per cent of the patients were transferred from a referring hospital. Patients transported directly from the scene had a higher ISS. Longer operative times translated into an increased need for fasciotomy. The amputation rate was 19 per cent. This is the first attempt to delineate the specific nature of rural popliteal artery trauma. The amputation rate was not different between the two different MOI and was independent of the time to operation. Of those patients receiving an amputation 83 per cent were transferred from another hospital and despite a statistically lower ISS still required an amputation.

Original languageEnglish (US)
Pages (from-to)485-489
Number of pages5
JournalAmerican Surgeon
Volume69
Issue number6
StatePublished - Dec 1 2003

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Popliteal Artery
Trauma Centers
Amputation
Wounds and Injuries
Injury Severity Score
Operative Time
Nonpenetrating Wounds
Blood Vessels
Students

ASJC Scopus subject areas

  • Surgery

Cite this

Sagraves, S. G., Conquest, A. M., Albrecht, R. J., Toschlog, E. A., Schenarts, P. J., Bard, M. R., ... Rotondo, M. F. (2003). Popliteal artery trauma in a rural level I trauma center. American Surgeon, 69(6), 485-489.

Popliteal artery trauma in a rural level I trauma center. / Sagraves, Scott G.; Conquest, Anne M.; Albrecht, Robert J.; Toschlog, Eric A.; Schenarts, Paul J.; Bard, Michael R.; Powell, C. Steve; Rotondo, Michael F.

In: American Surgeon, Vol. 69, No. 6, 01.12.2003, p. 485-489.

Research output: Contribution to journalArticle

Sagraves, SG, Conquest, AM, Albrecht, RJ, Toschlog, EA, Schenarts, PJ, Bard, MR, Powell, CS & Rotondo, MF 2003, 'Popliteal artery trauma in a rural level I trauma center', American Surgeon, vol. 69, no. 6, pp. 485-489.
Sagraves SG, Conquest AM, Albrecht RJ, Toschlog EA, Schenarts PJ, Bard MR et al. Popliteal artery trauma in a rural level I trauma center. American Surgeon. 2003 Dec 1;69(6):485-489.
Sagraves, Scott G. ; Conquest, Anne M. ; Albrecht, Robert J. ; Toschlog, Eric A. ; Schenarts, Paul J. ; Bard, Michael R. ; Powell, C. Steve ; Rotondo, Michael F. / Popliteal artery trauma in a rural level I trauma center. In: American Surgeon. 2003 ; Vol. 69, No. 6. pp. 485-489.
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