Vascular and Thoracic Surgery, University Hospital, Angers, France.
Sport Medicine, University Hospital, Angers, France.
Ann Vasc Surg. 2023 Nov;97:405-409. doi: 10.1016/j.avsg.2023.05.021. Epub 2023 May 25.
Functional popliteal artery entrapment syndrome (fPAES) is a subtype of PAES without anatomic abnormalities entrapment of the popliteal artery. One of the management of symptomatic fPAES is surgical exploration of the popliteal region with popliteal artery release with lysis of fibrous bands. There is a lack of data regarding the long-term functional results of this surgery, most of the studies focusing on vascular patency in anatomical PAES. The aim of this study was to assess the efficacy of surgery in functional PAES, focusing on long-term physical activity return after surgery with the Tegner activity scale.
All patients who underwent surgery for fPAES from January 1, 2010, to December 31, 2020, were searched. After ethical approval, all patients were called to evaluate physical activity since surgery. The Tegner activity scale is a numerical scale with each value (0 to 10) representing specific activity. The aim was to evaluate everyday activity limitations and participation restriction after surgery. The results for each patient were recorded: "before symptoms," "before surgery," and "after surgery."
Over the study period, 33 patients were included with 61 symptomatic legs. The mean time between surgery and phone call was 38.6 ± 21.9 months. The median score of the Tegner activity scale "before symptoms" was 7 (4-7), the median score "before surgery" was 3 (2-3), and the median score at the time of the phone call "after surgery" was 5 (3-7). P value was <0.0001 by comparing results "before surgery" and "after surgery."
Results demonstrated that the sport activity and intensity level is significantly higher after surgery even if patients did not reach their initial sport activity level.
功能性腘动脉陷迫综合征（fPAES）是一种无解剖异常的腘动脉陷迫的 PAES 亚型。有症状的 fPAES 的治疗方法之一是对腘窝区域进行手术探查，松解纤维束，释放腘动脉。关于这种手术的长期功能结果的数据很少，大多数研究都集中在解剖性 PAES 的血管通畅性上。本研究的目的是评估手术治疗功能性 PAES 的疗效，重点关注手术后通过 Tegner 活动量表恢复的长期体力活动。
搜索了 2010 年 1 月 1 日至 2020 年 12 月 31 日期间因 fPAES 接受手术的所有患者。在获得伦理批准后，所有患者均被要求评估手术以来的体力活动情况。Tegner 活动量表是一个数值量表，每个值（0 到 10）代表特定的活动。目的是评估手术后的日常活动限制和参与限制。记录每位患者的结果：“症状前”、“手术前”和“手术后”。
在研究期间，共纳入 33 例患者，共 61 条有症状的腿。手术至电话随访的平均时间为 38.6±21.9 个月。Tegner 活动量表“症状前”的中位数评分为 7（4-7），“手术前”的中位数评分为 3（2-3），电话随访时的中位数评分为 5（3-7）。通过比较“手术前”和“手术后”的结果，P 值<0.0001。
结果表明，手术后患者的运动活动和强度水平显著提高，即使他们没有达到最初的运动活动水平。
