Abstract
Popliteal vein (PV) injuries, which are less common than popliteal artery (PA) injuries, present with significant diagnostic and therapeutic challenges. These injuries are associated with a wide range of injuries. Early recognition and interventions provide better outcomes. Over time, the management of PV injuries has been shifted from ligation of the vessel to different forms of venous repair. We present a case of a 40-year-old female presenting with a supracondylar femur fracture with concomitant PA and PV injury. PA was repaired with a synthetic graft. However, the graft thrombosed due to venous hypertension. This was remedied with arterial graft thrombectomy and PV repair with an arterial interposition graft. This report highlights the importance of venous repair, especially in concomitant arterial and venous injuries.