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Knee dislocation with popliteal artery disruption: A nationwide analysis from 2005 to 2013.
Journal Title
Journal of orthopaedics
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Publication Date
2018-08-16
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Publication Volume
15
Publication Issue
3
Publication Begin
837
Publication End
841
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Abstract
Objective: Few have compared short-term outcomes following knee dislocations with or without concomitant popliteal artery disruption (PAD).
Methods: The Nationwide Inpatient Sample was used to identify 2175 patients admitted for knee dislocation from 2005 to 2013 (concomitant PAD: n = 210/9.7%; without: n = 1965/90.3%).
Results: Patients with PAD were younger, more often male, Black and Hispanic, and with Medicaid (all p ≤ 0.013). PADs were associated with 11.0-times higher odds of increased LOS (95%CI, 6.6-18.4) and 2.8-times higher odds of experiencing any complication (95%CI, 2.03-3.92). Female sex was a protective factor against increased LOS, (OR = 0.65; 95%CI, 0.48-0.88).
Conclusion: High suspicion index should be maintained for concomitant vascular injuries following knee dislocations.
Citation
Naziri Q, Beyer GA, Shah NV, Solow M, Hayden AJ, Nadarajah V, Ho D, Newman JM, Boylan MR, Basu NN, Zikria BA, Urban WP. Knee dislocation with popliteal artery disruption: A nationwide analysis from 2005 to 2013. J Orthop. 2018 Aug 16;15(3):837-841. doi: 10.1016/j.jor.2018.08.006. PMID: 30140130; PMCID: PMC6104139.