Knee dislocation: anyone still doing angiography in patients withsymmetrical pulses?

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Yes

Either formal catheter or CTA as the patient will go to an ortho ward
(lower level of care) for eventual fixation of the knee if the artery is
OK and to a trauma surgery unit or vascular surgery (high acuity ward)
if injury detected. I am from the "always repair these injury" school!

Tim
Dr Timothy C Hardcastle
M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS (SA)
Principal Surgeon-Lecturer / Sub-specialist: Trauma and Critical Care
Deputy director: Trauma Unit and Trauma ICU
Inkosi Albert Luthuli Central Hospital / UKZN
800 Bellair Road
Mayville, Durban
 
Postal: PostNet Suite 27
Private Bag X05
Malvern, 4055
KwaZulu Natal
 
timothyhar at ialch.co.za 
 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of sjasmd at aol.com
Sent: 26 July 2008 07:01
To: trauma-list at trauma.org
Subject: Knee dislocation: anyone still doing angiography in patients
withsymmetrical pulses?






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56 yo obese female (120 kg 1.67 M) slipped on water outside her home and
dislocated her left knee. Reduction was accomplished. Pulses were
symmetrical. Strong dorsalis pedis pulses?bilaterally, imperceptible
posterior tibial pulses. Mild pain in knee.

Does anyone still perform angiography for this scenario.


sal sclafani
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