Orthopedic trauma of limbs associated with vascular injuries / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 371-375, 2007.
Artículo
en Inglés
| WPRIM
| ID: wpr-236747
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the treatment for patients with major vascular injuries associated with traumatic orthopedic injuries.</p><p><b>METHODS</b>A total of 196 patients, aged from 4-67 years with the mean age of 29.88 years, had major vascular injuries associated with traumatic orthopedic injuries and were treated in our hospital in a period of 44 years. The most common mechanism of trauma was blunt trauma (67.3%), open injuries accounted for 32.4% and 54.5% of the injuries were located in the lower extremities. The vascular injury frequently happened in the femoral artery (26.7%) and popliteal artery (20.3%). The treatment principle consisted of aggressive resuscitation, Doppler imaging and stable bone internal fixation with subsequent vascular repair and debridement. The vascular repair for injuries included end-to-end anastomosis (80 cases, 39.6%), interpositional vein graft (94, 46.5%), vascular decompression through fracture distraction (18, 8.9%), arterial ligation (6, 3.0%), vein patch (2, 1.0%), bypass graft (2, 1.0%), venous repair including autogenous vein graft (9, 24.3%) and ligation (28, 75.7%) and prophylactical fasciotomy (15, 7.4%). Postoperative amputation was performed in 16 cases (16.3%).</p><p><b>RESULTS</b>No intraoperative death was observed and all fractures united within 6 months. Limbs were salvaged in 180 patients (91.8%). Among these patients, early complications were found in 19 patients (9.7%) and late complications were observed in 8 patients (4.1%).</p><p><b>CONCLUSIONS</b>A well-organized approach, based on a specific treatment principle, not only improves clinical outcome but also does good to excellent functional recovery for patients with severe orthopedic injuries and concomitant vascular lesion.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Heridas y Lesiones
/
Vasos Sanguíneos
/
Estudios Prospectivos
/
Fracturas Óseas
/
Fijación Interna de Fracturas
/
Fracturas Abiertas
Tipo de estudio:
Estudio observacional
Límite:
Adolescente
/
Adulto
/
Niño
/
Child, preschool
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Chinese Journal of Traumatology
Año:
2007
Tipo del documento:
Artículo
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