EXTENDED PROFUNDOPLASTY FOR LIMB SALVAGE

  • 1 January 1978
    • journal article
    • research article
    • Vol. 84  (6) , 758-763
Abstract
Extended profundoplasty was performed in 50 limbs of 39 patients for relief of rest pain or gangrene. This operation was effective in 95% of the limbs operated on because of rest pain, and in 54.5% of the limbs operated on because of gangrene. In 32 limbs the popliteal artery was patent. Profundoplasty was successful in relieving ischemic symptoms in all but 2 limbs. Postoperative ankle pressures increased consistently in the improved limbs. In 18 limbs the popliteal artery was occluded. Profundoplasty abolished the ischemic symptoms in 13 limbs. Ankle pressures did not increase consistently in limbs that clinically improved in this group. Restoring blood flow and pressure to the profunda femoris artery and its branches, by open endarterectomy and patch graft, can salvage limbs which otherwise would be amputated. It represents a reasonable alternative to bypass grafting and, in some cases, is the procedure of choice for the patient with threatened tissue loss.

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