Dislocation of the knee fracture treatment of arterial injury.docVIP

 PAGE \* MERGEFORMAT 15 Dislocation of the knee fracture treatment of arterial injury 【Key Words】 knee dislocation fracture Dislocation of the knee fracture  arterial injury in orthopedic trauma are more common, more common in some high-energy injuries, often life-threatening, but also a higher amputation rate, foreign reports amputation rate of 10% to 40% [1]. Higher amputation rates are largely linked to the failure to make timely and correct judgments of vascular injury and severe damage of soft tissue damage. Retrospective analysis of the current dislocation of the knee and / or fracture with arterial injury in 23 cases  of information to explore the treatment of vascular injury in the principles and methods. A clinical data 1.1 General Information From July 2002 to May 2006, undergraduate admissions Dislocation of the knee and / or fracture  23 patients with arterial injury, including 16 males and 7 females, aged 17 to 56 years (mean 36 years); traffic injuries in 15 cases, fall injury in 3 cases, injured after three cases of pressure, and other injuries in 2 cases; beyond physical destruction of the knee injury in 3 cases, active bleeding in 7 cases, combined nerve injury in 5 cases. 1.2 Treatment All patients were followed after admission first aid principles, give priority to life-threatening injuries, correct shock, assess the availability of closed head injury, chest injury and blunt abdominal trauma, control active bleeding. Admission, if there is a clear indication of vascular damage (weakening or disappearance of distal arterial pulse, arterial bleeding, and gradually increasing the hematoma, pulsatile hematoma, or in the arterial injury site with contusion, ecchymosis, etc.), should be considered a vascular injury indications of surgical exploration, but for the remote destruction of injury, a large hematoma in the non-pulsatile blood vessel injuries, etc., rows angiography or Doppler examination,