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Significant differences in functional outcome between upper and lower limbs after vascular trauma of the extremities
G M Hohenberger1, P Konstantiniuk2, J Cambiaso-Daniel3
1Department of Trauma Surgery, State Hospital Feldbach-Fürstenfeld, Austria.
Background:
This study aimed to compare the functional results between upper (UE) and lower extremity (LE) following arterial reconstruction due to vascular trauma.
Methods:
Patients treated for arterial injuries with vascular reconstruction at two centres between 2005 and 2014 were assessed. The physical fitness questionnaire - Fitnessfragebogen (FFB-Mot) - was evaluated. The differences between pre- and post-traumatic values were compared statistically for UE and LE. Inability to return to the preoperative workplace or postoperative loss of at least 10% of the FFB-Mot were defined as the primary outcome events.
Results:
Twenty-seven patients could be re-evaluated. The primary outcome event occurred in 52% (14/27) without significant difference between UE (43%) and LE (62%) (p = 0.45). The difference between the pre- and post-traumatic FFB-Mot scores showed a significantly poorer functional outcome after LE vascular injury (p = 0.012).
Conclusion:
Results indicate a poorer functional outcome after vascular extremity trauma to the LE than to the UE.
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