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Surgical Treatment of Popliteal Artery Injuries

Surgical Treatment of Popliteal Artery Injuries Abstract • Twenty-seven patients with injury to the popliteal artery and associated structures were operated on during the past 15 years. There were no operative or hospital deaths. The limb salvage rate was 56%; the amputation rate was 44%. Those patients with penetrating injuries were found to have a much better salvage rate (85%) than those with blunt trauma (29%). Preoperative arteriography and immediate repair of the popliteal artery by either end-to-end anastomosis or a vein graft is advocated for these patients. Popliteal vein injuries should be repaired when possible by lateral suture or end-to-end anastomosis. Fasciotomy is advocated on a selected basis. (Arch Surg 110:1351-1354, 1975) References 1. DeBakey ME, Simeone FA: Battle injuries of the arteries in World War II: An analysis of 2,471 cases . Ann Surg 123:534-579, 1944.Crossref 2. Makins GH: On Gunshot Wounds to the Blood Vessels . Bristol, England, John Wright and Son Ltd, 1919. 3. Spencer FG, Grewe RV: The management of acute arterial injuries in battle casualties . Ann Surg 141:304-313, 1955.Crossref 4. Jahnke EJ Jr, Howard JM: Primary repair of major arterial injuries . Arch Surg 66:646-649, 1953.Crossref 5. Hughes CW: Arterial repair during the Korean War . Ann Surg 147:555-561, 1958. 6. Rich NM, Baugh JA, Hughes CW: Popliteal artery injuries in Vietnam . Am J Surg 118:531-534, 1969.Crossref 7. Drapanas T, Hewitt RL, Weichert RF, et al: Civilian vascular injuries . Ann Surg 172:351-360, 1970.Crossref 8. Eger M, Golcman L, Schmidt B, et al: Problems in the management of popliteal artery injuries . Surg Gynecol Obstet 134:921-926, 1972. 9. Hermreck AS, Sifers TM, Reckling FW, et al: Traumatic vascular injuries . Am J Surg 128:813-817, 1974.Crossref 10. Eger M, Huler T, Hirsh M: Popliteal artery occlusion associated with dislocation of the knee joint . Br J Surg 57:315-317, 1970.Crossref 11. Miller HH, Welch CS: Quantitative studies of the time factor in arterial injuries . Ann Surg 130:428-438, 1949.Crossref 12. Sullivan WG, Thornton FH, Baker LH, et al: Early influence of popliteal vein repair in the treatment of popliteal vessel injuries . Am J Surg 122:528-531, 1971.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Surgical Treatment of Popliteal Artery Injuries

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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1975.01360170091013
Publisher site
See Article on Publisher Site

Abstract

Abstract • Twenty-seven patients with injury to the popliteal artery and associated structures were operated on during the past 15 years. There were no operative or hospital deaths. The limb salvage rate was 56%; the amputation rate was 44%. Those patients with penetrating injuries were found to have a much better salvage rate (85%) than those with blunt trauma (29%). Preoperative arteriography and immediate repair of the popliteal artery by either end-to-end anastomosis or a vein graft is advocated for these patients. Popliteal vein injuries should be repaired when possible by lateral suture or end-to-end anastomosis. Fasciotomy is advocated on a selected basis. (Arch Surg 110:1351-1354, 1975) References 1. DeBakey ME, Simeone FA: Battle injuries of the arteries in World War II: An analysis of 2,471 cases . Ann Surg 123:534-579, 1944.Crossref 2. Makins GH: On Gunshot Wounds to the Blood Vessels . Bristol, England, John Wright and Son Ltd, 1919. 3. Spencer FG, Grewe RV: The management of acute arterial injuries in battle casualties . Ann Surg 141:304-313, 1955.Crossref 4. Jahnke EJ Jr, Howard JM: Primary repair of major arterial injuries . Arch Surg 66:646-649, 1953.Crossref 5. Hughes CW: Arterial repair during the Korean War . Ann Surg 147:555-561, 1958. 6. Rich NM, Baugh JA, Hughes CW: Popliteal artery injuries in Vietnam . Am J Surg 118:531-534, 1969.Crossref 7. Drapanas T, Hewitt RL, Weichert RF, et al: Civilian vascular injuries . Ann Surg 172:351-360, 1970.Crossref 8. Eger M, Golcman L, Schmidt B, et al: Problems in the management of popliteal artery injuries . Surg Gynecol Obstet 134:921-926, 1972. 9. Hermreck AS, Sifers TM, Reckling FW, et al: Traumatic vascular injuries . Am J Surg 128:813-817, 1974.Crossref 10. Eger M, Huler T, Hirsh M: Popliteal artery occlusion associated with dislocation of the knee joint . Br J Surg 57:315-317, 1970.Crossref 11. Miller HH, Welch CS: Quantitative studies of the time factor in arterial injuries . Ann Surg 130:428-438, 1949.Crossref 12. Sullivan WG, Thornton FH, Baker LH, et al: Early influence of popliteal vein repair in the treatment of popliteal vessel injuries . Am J Surg 122:528-531, 1971.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Nov 1, 1975

References