Loss of Distal Femur Combined with Popliteal Artery Occlusion: Reconstructive Arthroplasty Using Modular Segmental Endoprosthesis: A Case Report.
10.3346/jkms.2009.24.2.350
- Author:
Shin Taeg KANG
1
;
Chan Ha HWANG
;
Bo Hyeon KIM
;
Byung Yoon SUNG
Author Information
1. Department of Orthopedic Surgery, Cheongju St. Mary's Hospital, Cheongju, Korea. zona413@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Popliteal Artery;
Arthroplasty;
Endoprosthesis
- MeSH:
*Arthroplasty, Replacement, Knee;
Femur/*injuries/radiography/*surgery;
Humans;
Internal Fixators;
Knee Injuries/*surgery;
Knee Joint/surgery;
Male;
Middle Aged;
Popliteal Artery/*injuries/radiography/*surgery
- From:Journal of Korean Medical Science
2009;24(2):350-353
- CountryRepublic of Korea
- Language:English
-
Abstract:
Severe injury to the knee and the surrounding area is frequently associated with injury to ligaments of the knee joint and structures in the popliteal fossa. This case involved a popliteal artery occlusion, severe bone loss of distal femur, loss of collateral ligaments, and extensor mechanism destruction of the knee. Initially, prompt recognition and correction of associated popliteal artery injury are important for good results after treatment. After successful revascularization, treatment for severe bone loss of distal femur and injury of the knee joint must be followed. We treated this case by delayed reconstruction using modular segmental endoprosthesis after revascularization of the popliteal artery. This allowed early ambulation. At 36 months after surgery, the patient had good circulation of the lower limb and was ambulating independently.
