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March 1, 1992Journal of Bone and Joint Surgery - British Volume

Upper and lower limb fractures with concomitant arterial injury

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Population

113 cases of upper- and lower-limb fractures with associated arterial injury treated over a period of 18 years

Design

Case_series

Follow-up

average 5.6 years (for salvaged limbs)

Authors

WSW. SchlickeweiUniversity of FribourgKEKuner EhUniversity of FreiburgAMAB MullajiBreach Candy Hospital

Discussion

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Overview

High secondary amputation and disability rates after vascular repair warrant caution in limb salvage decisions; leaves open optimal strategies for prospective study.

Structured PICO

P
Population
113 cases of upper- and lower-limb fractures with associated arterial injury treated over a period of 18 years
I
Intervention
Management strategy including primary amputation or primary vascular repair with stable external or internal fixation of fractures and re-establishment of limb perfusion
O
Outcome
Limb salvage and secondary amputation rateshard clinical

In patients with limb fractures and arterial injury, prompt multidisciplinary management is critical, though secondary amputation and long-term disability remain common.

Cite This Study

Schlickewei et al. (1992) studied this question.

synapsesocial.com/papers/6a82e779d5d5076d1fb2934fhttps://doi.org/10.1302/0301-620x.74b2.1544948
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Comprehensive Approach to Extremity Vascular Trauma1985 · 97 citations
  2. 2The timing of amputation for lower limb trauma1990 · 43 citations
  3. 3Lower limb fractures with associated vascular injury1990 · 59 citations
  4. 4Severe open fractures of the tibia.1987 · 361 citations