Revascularization of the profunda femoris artery for limb salvage

Z. Jamil, R. W. Hobson, T. G. Lynch, R. A. Yeager, F. T. Padberg, B. C. Lee, J. L. Porcaro

Research output: Contribution to journalArticle

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Abstract

The clinical outcome of 88 profundaplasties in 70 patients operated upon during the period 1978 to 1982 was related to indications for operation, status of arterial run-off, influence of a concomitant inflow procedure, and changes in Doppler ankle-brachial index (ABI). Operative procedures were performed for rest pain (49 limbs), ulceration (24 limbs), and gangrene (13 extremities). Primary profundaplasty (PP) was performed in 26 (29%) cases. Sixty-two procedures (71%) were inflow profundaplasties (IP) performed in conjunction with other proximal reconstructions. Overall clinical success was achieved in 67 extremities (76%). When the operation was performed for rest pain, and the arterial run-off was good, success rate was 78 per cent and 79 per cent, respectively, as compared to 51 per cent and 57 per cent for ulceration gangrene and poor arterial run-off. For PP, satisfactory outcome was noted in 69 percent as compared to 79 per cent in IP. In the clinically successful profundaplasties, mean preoperative ABI was 0.29 and increased significantly to 0.53 postoperatively (P=0.04). In the clinical failures, mean preoperative ABI was 0.32, and postoperative ABI was 0.38, which was not statistically significant (P>0.05). Profundaplasty is a reliable operation particularly when the indication is rest pain, and the arterial run-off is good. Poor results can be anticipated when the procedure is performed for tissue loss, or if the arterial run-off is poor. Clinical outcome for the PP and IP groups were comparable.

Original languageEnglish (US)
Pages (from-to)109-111
Number of pages3
JournalAmerican Surgeon
Volume50
Issue number2
StatePublished - Mar 30 1984

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Ankle Brachial Index
Limb Salvage
Extremities
Arteries
Gangrene
Pain
Operative Surgical Procedures

ASJC Scopus subject areas

  • Surgery

Cite this

Jamil, Z., Hobson, R. W., Lynch, T. G., Yeager, R. A., Padberg, F. T., Lee, B. C., & Porcaro, J. L. (1984). Revascularization of the profunda femoris artery for limb salvage. American Surgeon, 50(2), 109-111.

Revascularization of the profunda femoris artery for limb salvage. / Jamil, Z.; Hobson, R. W.; Lynch, T. G.; Yeager, R. A.; Padberg, F. T.; Lee, B. C.; Porcaro, J. L.

In: American Surgeon, Vol. 50, No. 2, 30.03.1984, p. 109-111.

Research output: Contribution to journalArticle

Jamil, Z, Hobson, RW, Lynch, TG, Yeager, RA, Padberg, FT, Lee, BC & Porcaro, JL 1984, 'Revascularization of the profunda femoris artery for limb salvage', American Surgeon, vol. 50, no. 2, pp. 109-111.
Jamil Z, Hobson RW, Lynch TG, Yeager RA, Padberg FT, Lee BC et al. Revascularization of the profunda femoris artery for limb salvage. American Surgeon. 1984 Mar 30;50(2):109-111.
Jamil, Z. ; Hobson, R. W. ; Lynch, T. G. ; Yeager, R. A. ; Padberg, F. T. ; Lee, B. C. ; Porcaro, J. L. / Revascularization of the profunda femoris artery for limb salvage. In: American Surgeon. 1984 ; Vol. 50, No. 2. pp. 109-111.
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