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Recanalization of an Occluded Popliteal Artery following Posterior Knee Dislocation Lem Kirby, MD, Jihad Abbas, MD, and Colleen Brophy, MD, Augusta, Georgia Posterior knee dislocation results in popliteal artery injury in up to one-third of cases. Prompt recognition and treatment of arterial injury is essential for limb salvage. We report a case of complete occlusion of the popliteal artery following posterior knee dislocation treated with sa- phenous vein bypass without exclusion of the injured arterial segment. Follow-up duplex scan- ning demonstrated a patent vein graft and a patent ipsilateral popliteal artery. This report sug- gests that, in some instances, a traumatically occluded popliteal artery may recanalize, and that revascularization with a bypass graft may be the preferred method of repair, particularly in young patients. (Ann Vasc Surg 1999;13:622-624.) The popliteal artery is predisposed to injury with CASE REPORT posterior knee dislocation secondary to its “fixed” A 9-year-old male presented to the emergency room after anatomical position. Injury usually takes the form a water skiing accident with a deformed left knee. Fol- of contusion or intimal disruption with secondary lowing knee reduction, the lower extremity was cool and thrombosis, but may involve complete arterial tran- 1 without palpable pulses below
Annals of Vascular Surgery – Springer Journals
Published: May 1, 2014
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