Outcomes of Blunt Trauma vs. Penetrating Trauma Popliteal Artery Injury

Introduction: Popliteal artery injuries (PAIs) are among the most severe peripheral vascular injuries; they may lead to movement impairment or amputation. This study aimed to compare the repair results of PAIs following blunt and penetrating trauma in patients referred to our Vascular Surgery Center in southwest Iran.Methods: In this cross-sectional study, ۹۲ patients with vascular trauma referred to the Southwest Trauma Center of Iran in ۲۰۲۰ were assessed. The sampling method was census. The data collection tool was a checklist containing demographic information, medical information, vascular information, Functional Independence Measure (FIM) Score, Mangled Extremity Severity Score (MESS), and Injury Severity Score (ISS). The chi-square test, Fisher exact test, and independent t-test were used to compare categorical and quantitative data between case and control groups. Statistical analyses were conducted using SPSS version ۲۴. The significance level considered was a p-value less than ۰.۰۵.Results: In this study of ۹۲ participants, ۶۳.۱% (۵۸) had blunt trauma injuries (case group). The mean age of participants in the case group was ۴۵.۳۷ ± ۹.۱۴, and in the control group was ۴۹.۴۳ ± ۱۰.۶۵. The mean GCS of participants in the case group was ۱۰.۸۰ ± ۱.۳۰, and in the control group, it was ۱۱.۷۲ ± ۰.۷۰, and ۱۰.۶% of participants needed limb fasciotomy (۱.۷% in the case group and ۲۶.۳% in the control group). The amputation rate was ۱۲% in the case group and ۸.۸% in the control group. There was a significant difference between the two groups in terms of organ fasciotomy (P = ۰.۰۳۵), type of PAI (P = ۰.۰۱۸), and fracture (P = ۰.۰۰۷). MESS (P < ۰.۰۰۱), FIM Score (P < ۰.۰۰۱), ISS (P = ۰.۰۴۴), time of discharge (P < ۰.۰۰۱), and arterial condition (P < ۰.۰۰۱).Conclusions: The results showed that the complications of penetrating PAI (organ fasciotomy, type of fracture, ISS, MESS, FIM score, time of discharge, and arterial condition were significantly more than in blunt injuries.

Keywords:

Blunt Trauma , Penetrating Trauma , Popliteal Artery , Vascular Surgery