[Surgical strategy in traumatic lesions of the popliteal artery].
An examination and treatment of 32 patients with injured popliteal arteries are analyzed. Among the etiological factors there were gunshot wounds (16), crushed (4), punctured-incised (7) and blunt (7) traumas. Combined injuries of the popliteal vein were diagnosed in 12 patients, and injuries of the bones--in 16 patients. Errors were made in 19 cases at the prehospital stage: late diagnosis of the injury (11), transporting the patient in the state of shock (5), ligation of the popliteal artery (3). The term of extremity ischemia more than 8 hours was noted in 13 admitted patients. Decompensation of circulation was diagnosed in 22 patients. The primary amputation was performed on 6 patients with moist gangrene. Vascular reconstructions were made in 26 cases including the autovenous prosthesis and circular suture. Secondary amputations were fulfilled to 6 patients. Three patients died. Good results were obtained in 20 cases.
Usmanov
N U
NU
Sultanov
D D
DD
Baratov
A K
AK
Kurbanov
N R
NR
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000671:Amputation, Surgical; D001807:Blood Vessel Prosthesis; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery*; D011150:Popliteal Artery / Q000293:injuries* / Q000601:surgery; D011152:Popliteal Vein / Q000293:injuries* / Q000601:surgery*; D012737:Sex Factors; D013997:Time Factors