Clinical analysis of 32 cases of popliteal artery injury
GU Yan-chao
LIU Shi-qing
MING Jiang-hua
ZHOU Yan
LIAO Qi
CHEN Qing
WANG Gang
Abstract：Objective To summarize the treatment and clinical effects of popliteal artery injury .Methods To-tally 32 patients with popliteal artery injury who had been admitted to our hospital between Jan .2005 and Jan.2015 were retrospectively analyzed ,including 28 males and 4 females with an average age of 35.5(25-56) years.Fourteen were on the left side and 18 were on the right side .Twelve cases were open injury and 20 cases were closed injury . According to the vascular injury type classification ,17 were type A,5 cases were type B,and 10 cases were type C. In the 32 patients,17 cases were associated with injury of great saphenous vein and 26 patients were associated with fractures around the knee joint .Thirty patients underwent emergency surgery ,and popliteal blood vessels and nerves were detected during the operation.Among them,11 cases were conducted end-to-end anastomosis,19 patients were performed transplantations of great saphenous vein ,and 2 cases were conducted amputation immediately .Popliteal vein injury in 17 cases was repaired .Fractures were treated with external fixator ,and the bone fascia room were cut for decompression ,following by negative pressure drainage technology .Results All 32 patients survived .Twenty-nine patients obtained succcessful limb salvage .Two patients underwent amputation owing to serious complication and acute renal failure .One case of limb-salvage surgery underwent amputation for muscle necrosis and acute renal failure.Thirty cases were followed up for 6 to 24 months,average 15 months.Fracture in 25 patients healed.One patient suffered bone nonunion and bone defect got bone union after treated by fracture fixation and bone graft .Dur-ing the last follow-up,29 cases were evaluated with Hohl score .Eleven cases were excellent ,8 cases were good ,6 cases were fair and 4 cases were poor ,the excellent and good rate was 65.5%.Conclusion Early diagnosis ,emer-gency reconstruction of lower limb blood supply ,close postoperative observation and nursing can improve the success rate of popliteal artery injury treatment .
Keywords：popliteal artery injurycompartment syndromediagnosis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 55-58 )