Long-Term Functional Outcomes After Surgery of Functional Popliteal Artery Entrapment Syndrome

Abstract

Functional popliteal artery entrapment syndrome (fPAES) is a subtype of PAES without anatomic abnormalities entrapment of the popliteal artery. One of the management of symptomatic fPAES is surgical exploration of the popliteal region with popliteal artery release with lysis of fibrous bands. There is a lack of data regarding the long term functional results of this surgery, most of the studies focusing on vascular patency in anatomical PAES. The aim of this study was to assess the efficacy of surgery in functional PAES, focusing on long term physical activity return after surgery with the Tegner activity scale. All patients that underwent surgery for fPAES from January 1st 2010 to December 31th 2020 were searched. After ethical approved, all patients were called to evaluate physical activity since surgery. The Tegner activity scale is a numerical scale with each value (0 to 10) representing specific activity. The aim was to evaluate everyday activity limitations and participation restriction after surgery. The results for each patient were recorded: « before symptoms », « before surgery » and « after surgery ». Over the study period, 33 patients were included with 61 symptomatic legs. The mean time between surgery and phone call was 38.6± 21.9 months. The median score of the Tegner activity scale "before symptoms" was 7 (4-7), the median score "before surgery" was 3 (2-3) and the median score at the time of the phone call, "after surgery" was 5 (3-7). P-value was <0.0001 by comparing results "before surgery" and "after surgery". Results demonstrated that the sport activity and intensity level is significantly higher after surgery even if patients did not reach their initial sport activity level.