Early diagnosis and management of popliteal artery injury

Objective To study the early diagnosis and treatment of popliteal artery injury.Methods From December 1999 to December 2011,17 cases of popliteal artery injury were diagnosed as earlier as possible based on clinical analysis including injury condition,clinical examination and Doppler-ultrasonography and treated with early repair of the injured arteries,intraoperative or postoperative anticoagulation,immediate fasciotomy and thorough debridement of the ischemic and necrotic muscles and soft tissue.Results There were 4 cases with amputation and 2 cases with slight dysfunction of the lower extremity.One case had serious dysfunction of the lower extremity.Conclusions A rational and prompt diagnosis and treatment for popliteal artery injury will decrease the adverse effect of ischemia and reduce overall morbidity. Key words: Popliteal artery ;  Injury ;  Diagnosis ;  Treatment