Dar Abdul Majeed, Ahanger Abdul Gani, Wani Rauf Ahmad, Bhat Mohammed Akbar, Lone Ghulam Nabi, Shah Shabir Hussain
Department of Cardiovascular and Thoracic Surgery, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jamma, India.
J Trauma. 2003 Aug;55(2):362-5. doi: 10.1097/01.TA.0000052369.46364.4F.
Popliteal artery injuries pose a serious threat to limb survival. Blunt trauma appears to be associated with a higher amputation rate than penetrating trauma, probably because of the more extensive nature of the injuries.
Two hundred seventy-two cases of popliteal artery injury were studied retrospectively from 1989 to 2001, a warlike period in Kashmir. Preoperative angiography was not performed. Thirty-two percent of patients had associated venous injury and 24.6% of patients had associated bone fracture.
Overall morbidity was 55%, with the most common complication being infection (24%). Secondary amputation had to be performed in 16 patients (5.5%). The amputation rate was not influenced by cause of injury and type of repair or the presence of venous injury, but associated bone fracture significantly increased the risk of amputation (p < 0.05). The patients who underwent repair more than 12 hours after sustaining injury had a significantly greater amputation rate (p < 0.05).
Prompt resuscitation, vascularization, and proper technique appear to be the only correctable factors that improve limb salvage.
腘动脉损伤对肢体存活构成严重威胁。钝性创伤似乎比穿透性创伤导致更高的截肢率，这可能是由于损伤的范围更广。
回顾性研究了1989年至2001年克什米尔战争时期的272例腘动脉损伤病例。未进行术前血管造影。32%的患者伴有静脉损伤，24.6%的患者伴有骨折。
总体发病率为55%，最常见的并发症是感染（24%）。16例患者（5.5%）不得不进行二期截肢。截肢率不受损伤原因、修复类型或静脉损伤的影响，但合并骨折显著增加了截肢风险（p<0.05）。受伤后12小时以上接受修复的患者截肢率显著更高（p<0.05）。
迅速复苏、血管重建和正确的技术似乎是提高肢体挽救率的唯一可纠正因素。
