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Resolution of cystic adventitial disease of the popliteal artery after unsuccessful treatment of percutaneous transluminal angioplasty

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Chinese Medical Journal 2013年第3期126卷 589-590页

作者： KONG Xiang-qian ZHANG Jing-yong JIN Xing Department of Vascular Surgery Provincial Hospital Affiliated to Shandong University Jinan Shandong 250021 China

Cystic adventitial disease （CAD） is a rare condition characterized by cyst!c lesions of the non-axial blood vessels adjacent to joints;j the majority of cysts are in the lower limb, with popliteal artery predominance. Here, we report a case of cystic adventitial disease in a 47-year-old man who was misdiagnosed and performed percutaneous transluminal angioplasty （PTA） in other hospital. He was eventually treated successfully with incision and evacuation of the popliteal cyst and ligation of communicating channels to the knee joint and remains asymptomatic 1 year later.

关键词： cystic adventitial disease popliteal artery intermittent claudication

Medial approach for popliteal artery injuries

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Chinese Journal of Traumatology 2010年第2期13卷 83-86页

作者：朱跃良徐永清李军王毅罗国 Department of Orthopaedics Kunming General Hospital Chengdu Military Command Kunming 650032 China

Objective： To evaluate the clinical application of the medial approach for repairing popliteal artery injuries. Methods： From 2002 to 2008, 11 cases ofpopliteal artery injuries had been repaired via the medial approach. Of these cases, 8 had limb fractures, 1 had knee dislocation, and 2 had visceral injuries. Ten popliteal arteries were anastomosed directly while one was repaired with a great saphenous vein graft. Results： The operation time ranged from 3 to 4 hours （averaging 3.6 hours）. All the injured limbs survived. At the follow up, 8 legs recovered the full function, 2 had minor contracture, and 1 serious Volkmann＇s contracture without amputation. Conclusion： The medial approach for repair of the popliteal artery is effective, applicable, and more advantageous to the management of multi-injures.

关键词： popliteal artery Wounds and injuries Wound healing

Management of Acute Lower Extremity Thrombosis Associated with Bilateral popliteal Aneurysms Using Combined Thrombolytic Therapy and Stent Graft Repair

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Chinese Medical Journal 2015年第4期128卷 564-566页

作者： Bao-Lei Guo Wei-Guo Fu Zhen-Yu Shi Li-Xin Wang Da-Qiao Guo Department of Vascular Surgery Zhongshan Hospital Fudan University Institute of Vascular Surgery Shanghai 200032 China

To the Editor：This is a brief clinical report on different endovascular procedures in the treatment of popliteal artery aneurysms （PAAs）.A 75-year-old man presented at the vascular clinic with progressive left lower limb pain at rest associated with coolness,pain,and *** medical history was significant for hypertension and *** femoral and popliteal pulsations were only felt in the left ***,pallor,paresthesia,delayed capillary refilling,and color changes were noted in the left limb together with rest *** ultrasound was performed and an embolization （Rutherford Grade 2b） and bilateral PAAs were found,which on computed tomography angiogram （CTA） measured 62 mm and 82 mm with the maximum diameters in the right and left popliteal artery,*** was found in both aneurysm sacs [Figure 1 a and b].Thromboembolism from the left PAA could be seen in the distal *** potentially associated aneurysms were excluded by magnetic resonance *** erythrocyte sedimentation rate and C-reactive protein were moderately elevated,and thrombophilia profile was negative,and history for any orogenital ulcers was negative.

关键词： popliteal artery Aneurysms Endovascular Therapy Stent Grafts

Compartment syndrome of thigh and lower leg with disruption of the popliteal vascular bundle after being run over by a 25-ton truck

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Chinese Journal of Traumatology 2013年第5期16卷 308-310页

作者： Rolf D Burghardt Thorsten Gehrke Daniel Kendoff Ulrich Stockle Sebastian Siebenlist Department of Orthopaedics Helios-Endo KlinikHamburg Hamburg Germany Klinik for Unfall-und Wiederherstellungschirurgie Berufsgenossenschaftlichen Unfallklinik Eberhard-Karls-Universitat Tubingen Schnarrenbergstraβe 95 72076Tubingen Germany Department of Trauma Surgery Klinikum rechts der IsarTechnische Universitat M(3nchen Germany

Compartment syndrome of the thigh is a rare condition, potentially resulting in devastating functional outcome. Increasing intracompartmental pressure which suppresses microcirculation and capillary perfusion may lead to cellular anoxia and muscle ischemia. The muscle com- partments in the thigh have a more compliant fascia and blend anatomically into the open compartments of the pelvis, thus compensating higher volumes than the compartments in the lower leg. We present a previously unreported case in which the limb of a 36-year-old man was run over by a 25- ton truck. He presented with a sensomotor deficit in his left lower leg with full paralysis of the shank muscles and ab- sence of all foot pulses. CT scan showed a huge haematoma in the thigh with active bleeding out of the popliteal artery into the haematoma which has already expanded into the muscle compartments of the lower leg. The limb had a disas- trous compartment syndrome of the thigh and lower leg with disruption of the popliteal neurovascular bundle; however, no bones in the limb were fractured. A complete fasciotomy of all the lower limb muscle compartments was immediately performed. The artery was reconstructed with interposition of the smaller saphenous vein, which was al- ready interrupted through the initial trauma.

关键词： Compartment syndromes Thigh Hemorrhage popliteal artery Peroneal nerve

Anterior tibiofemoral dislocation after total knee arthroplasty:A case report and literature review

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Chinese Journal of Traumatology 2022年第4期25卷 237-241页

作者： Alejandro Almoguera-Martinez Catarina Godinho-Soares Valentín Calcedo Bernal Jose-Antonio Pareja Esteban Marta Garcia-Lopez Miguel Angel Plasencia Arriba Orthopaedic and Traumatology Resident at Príncipe de Asturias Hospital Alcala de HenaresMadridSpain

Anterior tibiofemoral dislocation after total knee arthroplasty is an extremely rare and serious *** English-published papers,we found only 15 relevant cases,3 of which presented vascular *** manuscript aims to present a 77-year-old woman with a TC-Plus(Smith&Nephew)cruciate-retaining type in first time of knee prosthesis,who suffered an anterior tibiofemoral dislocation and were admitted to our *** clinical management and outcome were ***,a review of literature was *** concluded that early detection and surgical intervention of vascular injury is the key in the survival of the *** there is still knee instability after acute recovery,it seems that revision surgery with constrained total knee arthroplasty can bring about good clinical and functional results.

关键词： Arthroplasty Knee dislocation Knee replacement popliteal artery Risk factors