Modified technique of obturator bypass in failed or infected grafts

The obturator bypass graft operation can be performed in a moderately simplified manner by a technique that allows extension of indications for the procedure beyond situations in which sepsis is present in the groin. Long-term analysis of the results of the cases available for study indicates that the procedure may very well be a permanent reconstruction, and that graft failure results from graft infection or insufficient distal runoff, as in other distal revascularization procedures. No significant change in ankle pressure is noted when the hip is placed in maximum flexion position.