Study of risk factors and different modalities of treatment in lower extremity vascular injuries

This study included 88 patients with lower extremity vascular injuries. They were assessed on presentation and resuscitation protocols were initiated if signs of shock were present. Arterial injuries were repaired by primary repair, resection and anastomosis, interposition graft, artery ligation, temporary shunts and extra- anatomical bypass. Venous injuries were repaired by the same techniques, but when the repair would be complex or the patient is hemodynamically unstable, simple ligation was done. Primary amputation was done for patients where limb salvage was impossible clinically. MESS score was applied on the cases to obtain a score, which predicted the eventual need for amputation