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Injury to Popliteal Vessels
Robert C. Jaggers, MD;
David V. Feliciano, MD;
Kenneth L. Mattox, MD;
Joseph M. Graham, MD;
Michael E. DeBakey, MD
Arch Surg. 1982;117(5):657-661.
Abstract
• Between 1969 and 1981, 61 patients with 85 popliteal vascular injuries were seen. In the nine patients who required amputation, common risk factors included (1) extensive time delays (> 36 hours) between injury and repair, (2) associated bone and soft-tissue injuries leading to postoperative wound infection, and (3) early occlusion of popliteal artery repair or delay in performance of fasciotomy. The low amputation rate in patients without operative delay or associated bone and soft-tissue injuries (2/54 = 3.7%) was attributed to the careful application of standard vascular surgery techniques in combination with early use of leg fasciotomy when indicated. Polytetrafluoroethylene grafts as substitute vascular conduits in the popliteal artery have an excellent patency rate and seem to be an acceptable prosthesis when segmental resection of the artery is necessary.
(Arch Surg 1982;117:657-661)
Author Affiliations
From the Cora and Webb Mading Department of Surgery, Baylor College of Medicine, and the Ben Taub General Hospital, Houston.
Footnotes
Accepted for publication Jan 5, 1982.
Read at the 89th annual meeting of the Western Surgical Association, Albuquerque, Nov 17, 1981.
Reprint requests to Baylor College of Medicine, 1200 Moursund Ave, Houston, TX 77030 (Dr Feliciano).
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