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Updated: Jul 28, 2026
09:25
An In Vivo Duo-color Method for Imaging Vascular Dynamics Following Contusive Spinal Cord Injury
Published on: December 31, 2017
Vascular injuries associated with limb fractures
M M al-Salman1, H al-Khawashki, A Sindigki
1Vascular Surgery Division, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Injury
|March 1, 1997
Summary
Vascular injuries associated with limb fractures in young men show a high limb salvage rate of 93% with aggressive treatment. Prompt surgical intervention is crucial for successful outcomes in these complex cases.
Area of Science:
- Orthopedic Surgery
- Vascular Surgery
- Trauma Management
Background:
- Vascular injuries combined with bone fractures present complex trauma cases.
- Optimal management strategies are essential for limb salvage in these patients.
Purpose of the Study:
- To evaluate the outcomes of managing vascular injuries in limbs with associated fractures.
- To determine the effectiveness of various surgical interventions for limb salvage.
Main Methods:
- Retrospective review of 46 patients with lower and upper limb vascular injuries and fractures.
- Analysis of surgical treatments including end-to-end anastomosis, vein interposition grafting, prosthetic grafts, vein patches, lateral sutures, and ligations.
Main Results:
- A limb salvage rate of 93% was achieved.
- Mortality rate was 6.5% due to severe associated injuries.
- Amputations were required in 6.5% of patients with popliteal, tibial artery, and vein injuries.
Conclusions:
- An aggressive approach to limb salvage is necessary for extensive vascular injuries associated with fractures.
- Timely and appropriate surgical intervention significantly improves limb salvage rates.
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