{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T17:48:35Z","timestamp":1774633715346,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T00:00:00Z","timestamp":1735516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Popliteal artery injury is a rare but serious complication of arthroscopic knee surgery. The absence of comprehensive data and standardized guidelines underscores the urgent need for further investigation. This study examines the incidence, risk factors, management strategies, and long\u2010term outcomes of popliteal artery injury in the context of arthroscopic knee procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective cohort study utilizing data from 21 medical institutions in Hunan Province, China, from January 2018 to December 2022. We identified patients who underwent arthroscopic knee surgery and complained of postsurgical popliteal artery injury. Patients were followed up for 43.1\u2009\u00b1\u200913.23\u2009months (ranging from 22 to 58\u2009months). The primary outcome was joint function, which was evaluated by a postoperative range of motion (ROM), International Knee Documentation Committee (IKDC) scores, Lysholm knee scores, and Visual Vascular Quality of Life Questionnaire (VascuQoL) scores. These data from different postoperative periods were compared via paired <jats:italic>t<\/jats:italic>\u2010test to assess postoperative recovery. The secondary outcome was vascular patency of the affected limb, which was evaluated through vascular color Doppler ultrasound.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 17,000 knee arthroscopic procedures analyzed, 10 patients were identified with popliteal artery injury (0.059%). The surgeries performed included arthroscopic cystectomy for popliteal cysts, cruciate ligament reconstruction, and posterior horn of the lateral meniscus repair. Treatments for popliteal artery injury included percutaneous intravascular stent implantation (one patient), direct suture repair (four patients), allograft vascular transplantation (one patient), and reconstruction with an autogenous greater saphenous vein (four patients). After a mean follow\u2010up time of 43.1\u2009\u00b1\u200913.23\u2009months (ranging from 22 to 58\u2009months), no complications were reported. Compared with patients at 1\u2009month after surgery, patients at 2\u2009years after surgery presented improved knee function and ROM. The average Lysholm score increased significantly from 13.8\u2009\u00b1\u20094.21 to 68.2\u2009\u00b1\u200915.50, the IKDC score increased from 11.6\u2009\u00b1\u20092.46 to 48.1\u2009\u00b1\u200911.75, and the VascuQoL score improved from 54.8\u2009\u00b1\u20099.54 to 92.5\u2009\u00b1\u200915.90. Knee extension improved from 13.3\u00b0\u2009\u00b1\u20092.36\u00b0 to 3.5\u00b0\u2009\u00b1\u20094.12\u00b0, and knee flexion increased from 49.5\u00b0\u2009\u00b1\u200912.57\u00b0 to 107\u00b0\u2009\u00b1\u200921.63\u00b0. All patients successfully resumed daily activities postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Popliteal artery injury is a catastrophic complication that warrants significant attention during knee arthroscopy. This injury can occur in various types of arthroscopic knee procedures. Prompt diagnosis and effective intervention are crucial for minimizing the potential detriment associated with popliteal artery injury.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14334","type":"journal-article","created":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T09:50:16Z","timestamp":1735552216000},"page":"822-830","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Popliteal Artery Injury After Arthroscopic Knee Surgery: A Retrospective Multicenter Cohort Study"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1477-2418","authenticated-orcid":false,"given":"Zhenmu","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics The Second Xiangya Hospital of Central South University  Changsha Hunan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The First Hospital of Hunan University of Chinese Medicine  Changsha Hunan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yueming","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Central Hospital of Shaoyang  Shaoyang Hunan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao","family":"He","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, The Second Xiangya Hospital Central South University  Changsha China"},{"name":"The Institute of Vascular Diseases Central South University  Changsha China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8469-4980","authenticated-orcid":false,"given":"Weihong","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Second Xiangya Hospital of Central South University  Changsha Hunan China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-014-2054-0"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-099414"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513510677"},{"key":"e_1_2_12_5_1","first-page":"266","article-title":"Major Vascular Injuries Complicating Knee Arthroscopy","volume":"10","author":"Neagoe R. 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