Principles in the management of arterial injuries associated with fracture/dislocations.

Annals of Surgery
M H Sher

Abstract

Ten out of 355 patients admitted with fracture and/or dislocations of long bones secondary to blunt trauma had associated vascular injuries. The clinical recognition of the associated vascular injury and its vertification of arteriography, Doppler study or surgical exploration resulted in early vascular repair and limb salvage. The controversial aspects of bone stabilization followed by vascular repair versus primary vascular repari, skeletal traction and delayed internal fixation together with fasciotomy-fibulectomy are discussed. Our results with the injuries seen justify the principle of bone stabilization followed by vascular repair, particularly since a team effort resulted in little time lost prior to circulatory restoration. The problems following vascular repair-namely anterior compartment snydrome, acute renal failure and cardiac arrest are present with their principles of management.

References

Jun 1, 1974·The Journal of Trauma·J F Schweigel, P T Gropper
Oct 1, 1972·Archives of Surgery·D J PradhanE Michelson
Nov 1, 1965·American Journal of Surgery·W KlingensmithH Martinez
Jan 1, 1966·Archives of Surgery·F H Bassett, D Silver
Sep 1, 1949·Annals of Surgery·H H Miller, C S Welch
Mar 1, 1946·Bulletin of the U.S. Army Medical Department·M E DeBAKEY, F A SIMEONE

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Citations

Jan 1, 1981·Cardiovascular and Interventional Radiology·C Lundell, S Kadir
Dec 1, 1980·American Journal of Surgery·F J WolmaG C Alsop
May 1, 1987·Injury·S M al-AwamiM Sankaran-Kutty
Apr 1, 1994·Injury·P Clarke, R A Mollan
Jan 1, 1986·Skeletal Radiology·R Dominguez, L A de Santos
Feb 1, 2008·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Philippe ZermattenFrançois Chevalley
Feb 1, 1984·American Journal of Surgery·J Mergulhão Mendonca, A Norton de Matos
Aug 1, 1990·American Journal of Surgery·R ApplebaumM Pentecost
Nov 1, 1988·The Australian and New Zealand Journal of Surgery·S A TobinJ D Vidovich
Jul 1, 1981·American Journal of Surgery·R E AlbertyA M Boyden
Aug 1, 1989·American Journal of Surgery·F S BongardS R Klein
Jun 1, 1996·The Journal of Trauma·T E QuirkeG E Rauscher
Sep 14, 2018·Acta ortopedica brasileira·Firat AlMustafa Ozmen
Aug 1, 1980·The British Journal of Surgery·J K Drury, J E Scullion
Oct 5, 2011·The Journal of Bone and Joint Surgery. British Volume·R A DelaneyJ B Emans
Mar 5, 2017·Forensic Science, Medicine, and Pathology·Fabio De-GiorgioSimone Cerciello
Jan 30, 2021·Journal of Orthopaedic Trauma·Amir A ShahienPaul Tornetta

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