Popliteal Artery Injury Combined with Femur Fracture: Different Presentation and Management

Abstract

Popliteal artery injury is the one of main reason for loss of limb in high energy trauma patients. One of the main reasons of limb loss is delayed detection of popliteal artery injury. We report two patients who presented popliteal artery injury with femur fracture and underwent surgical treatment. A patient demonstrated impalpable distal pulses on initial presentation. On the other hand, the other patient presented palpable distal pulse initially which disappeared 3 h later. CT angiography should be considered whenever vascular injury is suspected. Management should include skeletal stabilization, revascularization, and prevention of reperfusion injury.