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Objective: To evaluate the clinical ap-plication of the medial approach for repairing popliteal ar-tery 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 anas-tomosed directly while one was repaired with a great saphe-nous 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 advanta-geous to the management of multi-injures.
