What Happened to the 19-year-old Who Faced a Road-traffic Accident?

Complex Tibia-fibula Fracture With Popliteal Vessel Injury

Department of Trauma and Orthopedics

A 19-year-old patient following a road traffic accident resulted in an injury on his left leg with a vascular (popliteal artery) tear. The patient was referred to Aadicura Superspeciality Hospital with an absence of pulsation in the left ankle and foot. He underwent a CT angiography and X-ray for a better diagnosis of the problem. Identified with complex tibia fracture with popliteal artery damage, emergency surgery was performed on the patient for tibia fracture fixation with plates and popliteal artery repair with vein graft

WHAT IS POPLITEAL ARTERY REPAIR?

Popliteal aneurysms can be treated by two methods: open surgical repair, in which a bypass is created around the aneurysm for improving the flow of blood; or endovascular popliteal aneurysm repair, whereby a stent-graft (a tube made of fabric with a metal mesh) is inserted into the area of the aneurysm to support the bulged artery.
The best option for the situation depends on the size of the aneurysm, the status of the patient’s overall health and the condition of the arteries. The surgeries are performed under local, regional or general anaesthesia.

HOW WAS THE CASE DEALT WITH?

The patient was suggested to undergo a CT angiography and X-ray to help our expert specialists give a better understanding of the entire case. A CT (Computerised Tomography) Angiography is an imaging exam used for a better understanding of the conditions of blood vessels to and from the heart. It is a non-invasive procedure that does not require a lot of recovery time. The results of the test were identified as a complex tibia fracture with a popliteal artery damage that indicated an emergency surgery.

A tibia fracture fixation surgery was performed on the patient. The three most commonly used techniques to stabilize and heal a broken shin bone or fibula are “open reduction”, “closed reduction” and “internal fixation”. The kind chosen to treat the patient was internal fixation which usually involves the use of special surgical screws, plates, wires, rods or nails that are placed inside bones. In this case, surgical plates were used to physically reconnect the bones by placing them inside the bone to fix it to the correct position. This helped the patient’s bones from healing abnormally. Along with this, the popliteal artery repair was conducted with the vein grafting technique. The entire surgery was performed under general anaesthesia.

WHAT WAS THE POST-OPERATIVE CONDITION?

The patient was discharged within a week with the advice for physiotherapy sessions and specific care prescriptions for his leg. He had a slow but steady recovery.

LOOKING FOR TREATMENT?

Emergency polytraumatic conditions are best treated with comfort, support, the right guidance and the best and most advanced technology. With an aim to always put patients first, Dr. Vivek Parikh, Trauma and Spine Surgeon, Dr. Chirag Patel, Orthopaedic Surgeon, Sports Injury and Joint Replacement Surgeon, Dr. Vijay Thakore, Vascular & Endovascular Surgeon, Dr. Sumit Kapadia, Vascular & Endovascular Surgeon, Dr. Hiten Patel, Vascular & Endovascular Surgeon, Dr. Kushan Nanavati, Vascular & Endovascular Surgeon from the department of Orthopedics and Vascular and Endovascular Surgery at Aadicura Superspeciality Hospital treats and provides you with the best possible outcomes that help you recover faster and prevent any further damage from the disease.

Breathing new life into your bones.
Found this informational? Share this through