Surgical Approach under A Modified Sims’ Position for Popliteal Artery Lesions

Abstract

Lesions of the popliteal artery are difficult to treat due to the limitations of the operative field owing to the knee joint. A posterior approach in the prone position is recommended for exposing the lesions. However, accessing the proximal or distal parts of the knee joints and harvesting the great saphenous vein remains challenging. The modified Sims’ position involved lying prone with the opposite knee slightly flexed and the upper body slightly elevated. This position allows for a wide lesion approach and graft harvesting without changing the position.