title: Popliteal arterial traumas: prognosis factors: multi-center prospective study apropos of 40 cases.
abstract: Forty cases of arterial popliteal traumas occurring in the course of 1992 were collected by 20 centers. The purpose of this prospective study was to evaluate a preoperative prognosis score suggested by Crolais from a retrospective study. Five clinical criteria are taken in account to establish the score: delay, degree of ischemia, contusion, general condition of the patient and wound apperture. Each of the criteria is affected by a progressive note according to the gravity. Analysis of our series confirms the seriousness of this pathology: one death, 8 major amputations and 50% of morbidity. The statistical analysis of pre-operative score and post-operative recovery confirms the existence of three groups at progressive risk: Low risk, score < 30 points. Revascularization must be done. Post-operative recovery is simple. Average risk, score is between 31 and 50 points. Revascularization must be done. Post-operative recovery is particularly simple as the delay before revascularisation will be short and systematic fasciotomies will be done. Major risk, score > 50 points. An amputation must be carried out.
authors.affiliation: Clinique Saint Augustin, Nantes, France.
authors.forename: F
authors.initials: F
authors.lastname: Lescalie
authors.forename: B
authors.initials: B
authors.lastname: Reigner
mesh_terms: D000328:Adult; D000671:Amputation, Surgical; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology; D007866:Leg / Q000098:blood supply; D008297:Male; D009017:Morbidity; D011150:Popliteal Artery / Q000293:injuries*; D011183:Postoperative Complications / Q000453:epidemiology; D011379:Prognosis; D011446:Prospective Studies; D012307:Risk Factors; D015599:Trauma Severity Indices; D014947:Wounds and Injuries / Q000453:epidemiology / Q000209:etiology / Q000601:surgery