Downs A R, MacDonald P
J Vasc Surg. 1986 Jul;4(1):55-62. doi: 10.1067/mva.1986.avs0040055.
Our experience with 63 patients who had popliteal artery injuries sustained in civilian accidents is reported. Blunt injuries occurred in 53 patients and 49 had associated skeletal injuries. Eighteen patients suffered knee dislocation; six of these patients had associated fractures. Fractures of the upper third of the tibia occurred in 21 patients. Five patients had irreversible ischemia and required primary amputation. Thirteen amputations were required in 58 patients in whom arterial repair was performed, for an amputation rate of 22%. There were no amputations in 19 patients treated less than 6 hours after injury was sustained. Four deaths occurred. Fasciotomy was performed in 20 patients. Skeletal injuries were usually treated with external fixation.
我们报告了63例在民用事故中发生腘动脉损伤患者的治疗经验。53例为钝性损伤，其中49例伴有骨骼损伤。18例患者发生膝关节脱位，其中6例伴有骨折。21例患者发生胫骨上段骨折。5例患者出现不可逆性缺血，需要一期截肢。在接受动脉修复的58例患者中，有13例需要截肢，截肢率为22%。受伤后6小时内接受治疗的19例患者中无一例截肢。4例患者死亡。20例患者进行了筋膜切开术。骨骼损伤通常采用外固定治疗。
