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Related Experiment Videos

An experience with upper-extremity vascular trauma.

D F Cikrit1, M C Dalsing, B J Bryant

  • 1Department of Surgery, Indiana University Medical Center, Indianapolis 46202.

American Journal of Surgery
|August 1, 1990
PubMed
Summary
This summary is machine-generated.

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Prompt surgical repair of upper-extremity vascular trauma in 101 limbs achieved a 99% limb salvage rate. Functional deficits resulted from associated nerve or orthopedic injuries, not the vascular trauma itself.

Area of Science:

  • Trauma Surgery
  • Vascular Surgery
  • Orthopedic Surgery

Background:

  • Upper-extremity vascular trauma often results from penetrating injuries in young males.
  • Surgical intervention is frequently required to address these complex injuries.

Purpose of the Study:

  • To evaluate the outcomes of surgical intervention for upper-extremity vascular trauma.
  • To determine the factors contributing to limb salvage and functional deficits.

Main Methods:

  • A 6-year retrospective study of 101 limbs with upper-extremity vascular trauma requiring surgical repair.
  • Analysis of injured vessels (axillary/subclavian, brachial, radial, ulnar), concomitant injuries (nerve, tendon, bone), and repair techniques (primary repair, vein graft, ligation).

Main Results:

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  • A 99% limb salvage rate was achieved.
  • Vascular repair included primary repair (54), vein graft (26), and vein patch (3); 17 injuries were ligated.
  • Functional deficits were absent in isolated vascular injuries but present in 64% with nerve injury and 25% with musculoskeletal injury.

Conclusions:

  • Prompt diagnosis and surgical intervention are crucial for preventing limb loss in upper-extremity vascular trauma.
  • Functional impairment after trauma is primarily attributed to associated nerve or orthopedic injuries, not the vascular injury alone.