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Surgical Management of Vascular Trauma Distal to the Popliteal Artery

Surgical Management of Vascular Trauma Distal to the Popliteal Artery Abstract Experience with five patients requiring arterial reconstruction for injury distal to the popliteal trifurcation indicates that such operations are both feasible and valuable. Fractures and associated nerve and venous injury are common but do not preclude successful limb salvage. The importance of early diagnosis and prompt surgical repair is emphasized. Preservation of the ipsilateral saphenous vein and exclusion of vascular anastomoses from the wound are useful technical adjuncts. References 1. Tyson RR, Riechle FA: Femorotibial bypass for salvage of the ischemic lower extremity . Surg Gynecol Obstet 134:771-776, 1972. 2. Garrett HE, et al: Distal tibial artery bypass with autogenous vein grafts: An analysis of 56 cases . Surgery 63:90-106, 1968. 3. Hughes CW: Arterial repair during the Korean war . Ann Surg 147:555-561, 1958. 4. DeBakey MD, Simeone FA: Battle injuries of the arteries in World War II . Ann Surg 123:534-579, 1946.Crossref 5. Rich NM, Baugh JH, Hughes CW: Acute arterial injuries in Viet Nam: 1,000 cases . J Trauma 10:359-369, 1970.Crossref 6. Morgan CV, et al: Acute injuries of major peripheral arteries . South Med J 62:739-744, 1969.Crossref 7. Drapanas R, et al: Civilian vascular injuries: A critical appraisal of three decades of management . Ann Surg 172:351-360, 1970.Crossref 8. Patman RD, Poulos E, Shires GT: The management of civilian arterial injuries . Surg Gynecol Obstet 118:725-738, 1964. 9. Rich NM, Baugh JH, Hughes CW: Popliteal artery injuries in Viet Nam . Am J Surg 118:531-534, 1969.Crossref 10. Gorman JF: Combat wounds of the popliteal artery . Ann Surg 168:974-980, 1968.Crossref 11. Cohen A, Baldwin JN, Grant RN: Problems in the management of battlefield vascular injuries . Am J Surg 118:526-530, 1969.Crossref 12. Chandler JG, Knapp RW: Early definitive treatment of vascular injuries in the Vietnam conflict . JAMA 202:960-966, 1967.Crossref 13. Horton RE: Injury to the posterior tibial artery complicating fracture of the tibia . Br J Surg 55:93-95, 1968.Crossref 14. Tilney NL, McLamb JR: Leg trauma with posterior tibial artery tear . J Trauma 7:807-810, 1967.Crossref 15. Lain KC, Williams GR: Arteriography in acute peripheral arterial injuries: An experimental study . Surg Forum 21:179-181, 1970. 16. Barcia PJ, Nelson TG, Whelan TJ: Importance of venous occlusion in arterial repair failure: An experimental study . Ann Surg 175:223-227, 1972.Crossref 17. Doty DB, et al: Prevention of gangrene due to fractures . Surg Gynecol Obstet 125:284-288, 1967. 18. Nylander G, Semb H: Veins of the lower part of the leg after tibial fractures . Surg Gynecol Obstet 134:974-976, 1972. 19. Rich NM, et al: Internal versus external fixation of fracture with concomitant vascular injuries in Vietnam . J Trauma 11:463-473, 1971.Crossref 20. Williams GR: Replantation of amputated extremities . Monogr Surg Sci 3:53-83, 1966. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Surgical Management of Vascular Trauma Distal to the Popliteal Artery

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References (23)

Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1972.04180120112020
Publisher site
See Article on Publisher Site

Abstract

Abstract Experience with five patients requiring arterial reconstruction for injury distal to the popliteal trifurcation indicates that such operations are both feasible and valuable. Fractures and associated nerve and venous injury are common but do not preclude successful limb salvage. The importance of early diagnosis and prompt surgical repair is emphasized. Preservation of the ipsilateral saphenous vein and exclusion of vascular anastomoses from the wound are useful technical adjuncts. References 1. Tyson RR, Riechle FA: Femorotibial bypass for salvage of the ischemic lower extremity . Surg Gynecol Obstet 134:771-776, 1972. 2. Garrett HE, et al: Distal tibial artery bypass with autogenous vein grafts: An analysis of 56 cases . Surgery 63:90-106, 1968. 3. Hughes CW: Arterial repair during the Korean war . Ann Surg 147:555-561, 1958. 4. DeBakey MD, Simeone FA: Battle injuries of the arteries in World War II . Ann Surg 123:534-579, 1946.Crossref 5. Rich NM, Baugh JH, Hughes CW: Acute arterial injuries in Viet Nam: 1,000 cases . J Trauma 10:359-369, 1970.Crossref 6. Morgan CV, et al: Acute injuries of major peripheral arteries . South Med J 62:739-744, 1969.Crossref 7. Drapanas R, et al: Civilian vascular injuries: A critical appraisal of three decades of management . Ann Surg 172:351-360, 1970.Crossref 8. Patman RD, Poulos E, Shires GT: The management of civilian arterial injuries . Surg Gynecol Obstet 118:725-738, 1964. 9. Rich NM, Baugh JH, Hughes CW: Popliteal artery injuries in Viet Nam . Am J Surg 118:531-534, 1969.Crossref 10. Gorman JF: Combat wounds of the popliteal artery . Ann Surg 168:974-980, 1968.Crossref 11. Cohen A, Baldwin JN, Grant RN: Problems in the management of battlefield vascular injuries . Am J Surg 118:526-530, 1969.Crossref 12. Chandler JG, Knapp RW: Early definitive treatment of vascular injuries in the Vietnam conflict . JAMA 202:960-966, 1967.Crossref 13. Horton RE: Injury to the posterior tibial artery complicating fracture of the tibia . Br J Surg 55:93-95, 1968.Crossref 14. Tilney NL, McLamb JR: Leg trauma with posterior tibial artery tear . J Trauma 7:807-810, 1967.Crossref 15. Lain KC, Williams GR: Arteriography in acute peripheral arterial injuries: An experimental study . Surg Forum 21:179-181, 1970. 16. Barcia PJ, Nelson TG, Whelan TJ: Importance of venous occlusion in arterial repair failure: An experimental study . Ann Surg 175:223-227, 1972.Crossref 17. Doty DB, et al: Prevention of gangrene due to fractures . Surg Gynecol Obstet 125:284-288, 1967. 18. Nylander G, Semb H: Veins of the lower part of the leg after tibial fractures . Surg Gynecol Obstet 134:974-976, 1972. 19. Rich NM, et al: Internal versus external fixation of fracture with concomitant vascular injuries in Vietnam . J Trauma 11:463-473, 1971.Crossref 20. Williams GR: Replantation of amputated extremities . Monogr Surg Sci 3:53-83, 1966.

Journal

Archives of SurgeryAmerican Medical Association

Published: Dec 1, 1972

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