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[Arterial injuries of the upper extremities]
Summary
Vascular reconstruction effectively treated 26 upper extremity injuries, achieving an 84.6% patency rate. This study reviews causes, diagnosis, and treatment of these critical limb traumas.
Area of Science:
- Vascular Surgery
- Trauma Surgery
Context:
- Review of 26 patients treated for upper extremity vascular injuries between 1982-1991.
- Analysis of injury mechanisms, including direct trauma (88.5%) and indirect trauma (11.5%).
- High incidence (73.1%) of associated injuries to veins, nerves, or bones.
Purpose:
- To comprehensively review the causes, diagnosis, and treatment of upper extremity vascular injuries.
- To evaluate the outcomes of vascular reconstruction in this patient cohort.
Summary:
- Brachial artery injuries were most common (50%).
- Criminal offenses accounted for approximately one-third of arterial injuries.
- Vascular reconstruction was performed in all patients, with an 84.6% patency rate and a 3.8% amputation rate.
- One patient with polytrauma died from sepsis (3.8%).
Impact:
- Provides insights into the management of complex upper extremity vascular trauma.
- Highlights the effectiveness of surgical reconstruction in preserving limb function.
- Informs clinical practice regarding the diagnosis and treatment strategies for vascular injuries in the upper limb.