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Home > List Archives

posterior approach to popliteal injuries

trauma-list@trauma.org trauma-list@trauma.org
Sat, 4 Jan 2003 07:21:51 EST


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In a message dated 1/3/2003 7:52:59 PM Eastern Standard Time, 
drrene55@hotmail.com writes:

> Dear ERF
> I have seen that the posterior approach to popliteal injuries is much 
> better ,  in those patients with appropiate arteriographic diagnose  , 
> before surgery . I can assure you that it gives you a fantastic view , and 
> requires a minimum debridation . I am absolutely agree with you about the 
> position of the patient regarding splenic trauma .
> 
>  Best wishes for 2003 ,
> 
>  Rene Rodriguez , M.D.
> 
> 

I know the view you get with the posterior approach--your opinion appears to 
differ  from 4 decades of literature from those many authorities who have 
made their experience available to us, and who do these operations fairly 
often, but it is an opinion you are entitled to, and an approach you are 
perfectly entitled to use if it has worked for you.  The point of this 
discussion was that there was no reason in the case presented to have worried 
about the popliteal injury at all, as a medial approach could easily have 
been used and IS the approach of choice for these injuries, taking away any 
concerns about prone positioning.
ERF

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<HTML><FONT FACE=arial,helvetica><FONT  SIZE=2 FAMILY="SANSSERIF" FACE="Arial" LANG="0">In a message dated 1/3/2003 7:52:59 PM Eastern Standard Time, drrene55@hotmail.com writes:<BR>
<BR>
<BLOCKQUOTE TYPE=CITE style="BORDER-LEFT: #0000ff 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px">Dear ERF<BR>
I have seen that the posterior approach to popliteal injuries is much better ,&nbsp; in those patients with appropiate arteriographic diagnose&nbsp; , before surgery . I can assure you that it gives you a fantastic view , and requires a minimum debridation . I am absolutely agree with you about the position of the patient regarding splenic trauma .<BR>
<BR>
 Best wishes for 2003 ,<BR>
<BR>
 Rene Rodriguez , M.D.<BR>
<BR>
</BLOCKQUOTE><BR>
<BR>
I know the view you get with the posterior approach--your opinion appears to differ&nbsp; from 4 decades of literature from those many authorities who have made their experience available to us, and who do these operations fairly often, but it is an opinion you are entitled to, and an approach you are perfectly entitled to use if it has worked for you.&nbsp; The point of this discussion was that there was no reason in the case presented to have worried about the popliteal injury at all, as a medial approach could easily have been used and IS the approach of choice for these injuries, taking away any concerns about prone positioning.<BR>
ERF</FONT></HTML>

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