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Surgical Treatment of Popliteal Artery Injuries
David M. Conkle, MD;
Robert E. Richie, MD;
John L. Sawyers, MD;
H. William Scott, Jr, MD
Arch Surg. 1975;110(11):1351-1354.
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)
Author Affiliations
From the Department of Surgery, Vanderbilt Medical Center (Dr Conkle), Department of Surgery, Nashville Veterans Administration Hospital (Dr Richie), Department of Surgery, Nashville Metropolitan General Hospital (Dr Sawyers), and Department of Surgery, Vanderbilt University Hospital (Dr Scott), Nashville, Tenn.
Footnotes
Accepted for publication June 27, 1975.
Read before the 23rd scientific meeting of the International Cardiovascular Society, Boston, June 19, 1975.
Reprint requests to Nashville Metropolitan General Hospital, Nashville, TN 37210 (Dr Sawyers).
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