Snyder W H
Surgery. 1982 May;91(5):502-6.
Injury of the popliteal artery results in amputation more often than any other arterial injury. Adjacent injuries, small vessel thrombosis, and muscle necrosis are the major deterrents to limb salvage. This report updates a previously published series, expanded to include 110 injuries treated during a 14-year period. Emphasis is placed on the management of adjacent injuries, errors promoting amputation, and principles of improving limb survival. The hallmark of success is the rapid and complete restoration of arterial and venous flow.
腘动脉损伤比其他任何动脉损伤更常导致截肢。相邻损伤、小血管血栓形成和肌肉坏死是保肢的主要障碍。本报告更新了先前发表的系列研究,范围扩大至包括14年间治疗的110例损伤。重点在于相邻损伤的处理、导致截肢的失误以及提高肢体存活率的原则。成功的标志是动脉和静脉血流的快速和完全恢复。