Limb Salvage after Lower-Leg Fracture and Popliteal Artery Transection—The Role of Vessel-First Strategy and Bone Fixation Using the Ilizarov External Fixator Device: A Case Report

Open traumatic lesion of the popliteal artery is relatively rare. Ischemia time longer than 6 h and severity of limb ischemia have been shown to be associated with an increased risk of limb loss. Severe local infection is critical in the presence of major soft tissue trauma or open fractures. We rep...

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Autores principales:	Vincenzo Giordano, Felipe Serrão Souza, William Dias Belangero, Robinson Esteves Pires
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	popliteal artery limb ischemia external fixation Ilizarov circular fixator malunion Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/5537619eaf1544fe9dc9e8f1e8f03a09
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spelling	oai:doaj.org-article:5537619eaf1544fe9dc9e8f1e8f03a092021-11-25T18:18:42ZLimb Salvage after Lower-Leg Fracture and Popliteal Artery Transection—The Role of Vessel-First Strategy and Bone Fixation Using the Ilizarov External Fixator Device: A Case Report10.3390/medicina571112201648-91441010-660Xhttps://doaj.org/article/5537619eaf1544fe9dc9e8f1e8f03a092021-11-01T00:00:00Zhttps://www.mdpi.com/1648-9144/57/11/1220https://doaj.org/toc/1010-660Xhttps://doaj.org/toc/1648-9144Open traumatic lesion of the popliteal artery is relatively rare. Ischemia time longer than 6 h and severity of limb ischemia have been shown to be associated with an increased risk of limb loss. Severe local infection is critical in the presence of major soft tissue trauma or open fractures. We report the case of a young female who suffered a traumatic transection of the popliteal artery associated with an open fracture of the distal tibia and fibula managed by direct vessel reconstruction with an end-to-end repair and skeletal stabilization initially with half-pin external fixation, then replaced by an Ilizarov circular frame. The patient had a very satisfactory outcome, but the fracture healed malunited, later corrected by open reduction and internal fixation with lag-screwing and a neutralization plate.Vincenzo GiordanoFelipe Serrão SouzaWilliam Dias BelangeroRobinson Esteves PiresMDPI AGarticlepopliteal arterylimb ischemiaexternal fixationIlizarov circular fixatormalunionMedicine (General)R5-920ENMedicina, Vol 57, Iss 1220, p 1220 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	popliteal artery limb ischemia external fixation Ilizarov circular fixator malunion Medicine (General) R5-920
spellingShingle	popliteal artery limb ischemia external fixation Ilizarov circular fixator malunion Medicine (General) R5-920 Vincenzo Giordano Felipe Serrão Souza William Dias Belangero Robinson Esteves Pires Limb Salvage after Lower-Leg Fracture and Popliteal Artery Transection—The Role of Vessel-First Strategy and Bone Fixation Using the Ilizarov External Fixator Device: A Case Report
description	Open traumatic lesion of the popliteal artery is relatively rare. Ischemia time longer than 6 h and severity of limb ischemia have been shown to be associated with an increased risk of limb loss. Severe local infection is critical in the presence of major soft tissue trauma or open fractures. We report the case of a young female who suffered a traumatic transection of the popliteal artery associated with an open fracture of the distal tibia and fibula managed by direct vessel reconstruction with an end-to-end repair and skeletal stabilization initially with half-pin external fixation, then replaced by an Ilizarov circular frame. The patient had a very satisfactory outcome, but the fracture healed malunited, later corrected by open reduction and internal fixation with lag-screwing and a neutralization plate.
format	article
author	Vincenzo Giordano Felipe Serrão Souza William Dias Belangero Robinson Esteves Pires
author_facet	Vincenzo Giordano Felipe Serrão Souza William Dias Belangero Robinson Esteves Pires
author_sort	Vincenzo Giordano
title	Limb Salvage after Lower-Leg Fracture and Popliteal Artery Transection—The Role of Vessel-First Strategy and Bone Fixation Using the Ilizarov External Fixator Device: A Case Report
title_short	Limb Salvage after Lower-Leg Fracture and Popliteal Artery Transection—The Role of Vessel-First Strategy and Bone Fixation Using the Ilizarov External Fixator Device: A Case Report
title_full	Limb Salvage after Lower-Leg Fracture and Popliteal Artery Transection—The Role of Vessel-First Strategy and Bone Fixation Using the Ilizarov External Fixator Device: A Case Report
title_fullStr	Limb Salvage after Lower-Leg Fracture and Popliteal Artery Transection—The Role of Vessel-First Strategy and Bone Fixation Using the Ilizarov External Fixator Device: A Case Report
title_full_unstemmed	Limb Salvage after Lower-Leg Fracture and Popliteal Artery Transection—The Role of Vessel-First Strategy and Bone Fixation Using the Ilizarov External Fixator Device: A Case Report
title_sort	limb salvage after lower-leg fracture and popliteal artery transection—the role of vessel-first strategy and bone fixation using the ilizarov external fixator device: a case report
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/5537619eaf1544fe9dc9e8f1e8f03a09
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Limb Salvage after Lower-Leg Fracture and Popliteal Artery Transection—The Role of Vessel-First Strategy and Bone Fixation Using the Ilizarov External Fixator Device: A Case Report

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