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Updated: Jun 25, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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Gluteopopliteal bypass for a compromised groin.

Tjeerd S Aukema1, Dink A Legemate

  • 1Department of Vascular Surgery, Academic Medical Center, Amsterdam, The Netherlands.

Journal of Vascular Surgery
|February 17, 2009
PubMed
Summary

Extra-anatomic arterial reconstruction using gluteopopliteal bypass is a viable option for compromised groins, especially those with radiation ulcers. This surgical technique offers an alternative when standard groin approaches are not feasible.

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Area of Science:

  • Vascular Surgery
  • Reconstructive Surgery

Background:

  • Extra-anatomic arterial reconstruction is crucial for patients with compromised groin anatomy.
  • Standard surgical options include obturator or transosseous bypass procedures.

Observation:

  • A case involving a patient with a necrotic radiation ulcer in the groin is presented.
  • The compromised groin necessitated an alternative surgical approach.

Findings:

  • A gluteopopliteal bypass was successfully performed to treat the necrotic radiation ulcer.
  • This demonstrates the utility of extra-anatomic bypass in complex groin cases.

Implications:

  • Gluteopopliteal bypass can be an effective solution for managing radiation-induced groin complications.
  • This approach expands the reconstructive options for challenging vascular cases.