Arterial Injuries in Orthopaedics: The Posteromedial Approach for Vascular Control about the Knee

Jay O. Muscat, Waid Rogers, Anatolio B. Cruz, Robert C. Schenck

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Combined orthopaedic and vascular injuries are becoming more common owing to an increasing incidence of high-energy trauma and gunshot wounds. We present our experience using the posteromedial approach in treating eight orthopaedic patients with popliteal arterial injuries. All patients underwent popliteal exploration by a vascular surgeon through a posteromedial approach (releasing the pes anserinus and the medial gastroenemius). The arterial injuries were reconstructed in five patients using a reverse saphenous vein graft and directly repaired in three patients. Two patients had delayed healing of their incisions as a result of the original injury. There were no neural injuries. The posteromedial approach is extensile and utilitarian, and it represents the exposure of choice for arterial injuries about the knee.

Original languageEnglish (US)
Pages (from-to)476-480
Number of pages5
JournalJournal of orthopaedic trauma
Volume10
Issue number7
DOIs
StatePublished - 1996
Externally publishedYes

Keywords

  • Arterial injuries
  • Knee
  • Posteromedial approach
  • Vascular control

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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