Popliteal artery injury in 17 cases.doc

 PAGE \* MERGEFORMAT 6 Popliteal artery injury in 17 cases [Keywords:] popliteal artery; injury; diagnosis; vascular remodeling 0 INTRODUCTION With the development of modern industry and transport, popliteal artery injuries increased year by year, accounting for 2.6% of vascular injuries ~ 20.2% [1]. And because of its anatomical characteristics, injuries and later difficult to get early diagnosis and timely treatment, ranging from limb ischemia caused by muscle contracture, re-have resulted in limb necrosis, or even life-threatening. We are taking in patients with popliteal artery injury in the treatment of vascular reconstruction techniques to obtain satisfactory curative effect. A clinical data on 2000  09/2006  03 treated 17 patients with popliteal artery injuries (13 males and 4 females), aged 15 to 52 years. Are unilateral vascular injury, which left six cases, the right side in 11 cases. injuries reasons: traffic accident injury in 9 cases; five cases of crush injury; two cases of blunt injury; sharp injuries in 1 case. types of injury: Vascular complete rupture in 11 cases (of which the popliteal artery and vein at the same time break 2 cases), incomplete fracture 5 cases of vascular contusion with thrombosis in 1 case. associated injuries: tibial plateau or proximal tibial fractures in 8 cases, 3 cases of knee dislocation, femoral condyle fracture in 4 cases, common peroneal nerve injury in 1 case. open injury in 7 cases, closed injury in 10 cases. ischemic time: 6 h following 12 cases, 6 ~ 8 h in 2 patients, 8 h for more than three cases. Methods: Hospitalized patients were clinically diagnosed in time to make a parallel exploration popliteal artery repair. open injuries to first debridement combined fracture and dislocation of the knee close to the rapid reduction surgery and the corresponding simple and reliable internal fixation or external fixation, and finally to popliteal artery revascularization surgery. defect after debridement of the b