Snyder W H
Department of Surgery, University of Texas Southwestern Medical Center, Dallas.
Surg Clin North Am. 1988 Aug;68(4):787-807. doi: 10.1016/s0039-6109(16)44586-x.
Arterial injuries below the adductor hiatus in the lower extremity result in amputation more often than do injuries in any other site. The major deterrents to limb salvage are delay in diagnosis and revascularization and extensive adjacent bone and soft-tissue trauma. Rapid diagnosis and repair are needed for all popliteal artery injuries and for infrapopliteal injuries that compromise distal flow. The optimal management of asymptomatic injuries of single shank arteries with normal flow in uninjured parallel vessels is not defined.
下肢内收肌裂孔以下的动脉损伤比其他任何部位的损伤更常导致截肢。保肢的主要障碍是诊断和血管重建的延迟以及广泛的邻近骨骼和软组织创伤。所有腘动脉损伤以及影响远端血流的腘以下损伤都需要快速诊断和修复。对于未受伤的平行血管中血流正常的单根小腿动脉无症状损伤的最佳处理方法尚未明确。
