alexa Vascular Injury in Obese Patients after Ultra-Low-Velocity Trauma | OMICS International | Abstract
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Case Report

Vascular Injury in Obese Patients after Ultra-Low-Velocity Trauma

Ismael Fuchs1*, Thomas Allmayer1, Franz Schweighofer2, Josef Tauss3, Manfred Wonisch4, Gerald Seinost5, Manuela Jaindl6 and Florian M Kovar6

1Department of Vascular Surgery, LKH Bruck/Mur, Austria

2Department of Trauma Surgery, LKH Bruck/Mur, Austria

3Institute of Diagnostic and Interventional Radiology, LKH Bruck/Mur, Austria

4Department of Internal Medicine, Hansa Sanatorium, Graz, Austria

5Department of Angiology, Medical University Graz, Graz, Austria

6Department of Trauma Surgery, Medical University Vienna, AKH, Vienna, Austria

*Corresponding Author:
Ismael Fuchs
Department of Vascular Surgery, LKH Bruck/Mur
Tragösserstraße 1, 8600 Bruck/Mur, Austria
Tel: +43-3862 / 895-2301
Fax: +43-3862 / 895-2350
E-mail: [email protected]

Received date: October 27, 2014; Accepted date: December 23, 2014; Published date: December 29, 2014

Citation: Fuchs I, Allmayer T, Schweighofer F, Tauss J, Wonisch M, et al. (2014) Vascular Injury in Obese Patients after Ultra-Low-Velocity Trauma. J Anesth Clin Res 5:488. doi: 10.4172/2155-6148.1000488

Copyright: © 2014 Fuchs I, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Traumatic Knee Dislocation (KD) is a serious and potentially limb threatening injury, albeit a relatively rare condition. Knee dislocation, defined as a complete disruption of the integrity of the tibia-femoral articulation, is uncommon, representing 0.001% to 0.013% of orthopedic injuries. Male:Female ratio is 4:1, and nearly 10% are caused by ultra-low-velocity dislocations. These injuries have historically been attributed to High Velocity Impacts (HVKD) however more recently they are being noted in Low Velocity Incidents (LVKD), particularly involving morbidly obese people. An increase in LVKD in the morbidly obese from 17%, between 1995-2000 to 53% in 2007-2012 was reported in the literature. Methods: In our case series of two female patients vascular injury occurred after an ultra low velocity trauma in the domestic environment. Case 1 was a 72-year old female, BMI 28 kg/m2, with diabetes mellitus Type II, arterial hypertension, and obesity. Case 2 was a 57-year old female, BMI 44 kg/m2, with diabetes mellitus Type II, psychosis, and obesity. Vascular surgery was performed to maintain blood supply for the injured limb. Results: In one case full weight-bearing was achieved and the other case resulted in an above the knee amputation, due to severe soft tissue damage. Conclusion: Knee dislocation is a rare albeit a serious and potentially limb threatening condition. Expediancy in reducing the acutely dislocated knee is vital to prevent neurovascular damage and potential for compartement syndrome and limb amputation. Based on our observation, the knowledge of potentially serious adverse outcomes in obese patients with ultra-low-velocity trauma and vascular injury should increase our awareness in these patients with knee pain even after marginal trauma. X-rays, and if suspicion is raised, a CT-scan usually leads to a detailed and profound diagnosis, enabling immediate surgical intervention to save the affected limb.

Keywords

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version