DOI: 10.36347/sjams.2019.v07i08.041

Pages: 2832-2834

The case of a young patient of 20 years. Victim of a road accident. Clinical examination revealed knee deformity with loss of anatomical landmarks and a shortened limb. The neurovascular examination revealed the abolition of the pedal and posterior tibial pulse without motor sensitivo deficit. X-ray confirmed the posterior dislocation of the knee. The reduction of the dislocation was performed under general anesthesia at four hours of the accident; stabilized by an external fixation. After reduction of the dislocation, the popliteal and tibial postural pulse remained abolished. CT angiography confirmed the anatomic interruption of the popliteal artery. The repair consisted of femoral and popliteal bypass grafting of saphenous vein autograft. Later the patient had a ligamentoplasty of the knee with a satisfactory functional result.