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May 1, 1978Journal of Trauma and Acute Care Surgery

Arterial Trauma Involving the Lower Limb

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Authors

JRJ V RobbsCenter for Vascular Biology ResearchLBL. W. BakerDurban University of Technology

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Overview

Case series reveals surgical management outcomes for lower limb arterial trauma in 103 patients, highlighting early fasciotomy and external fixation for limb salvage.

Key Points

  • To review the pathology and evaluate surgical management strategies for lower extremity arterial injuries and associated fractures.
  • Reviewed clinical management and outcomes for 105 lower limb arterial injuries treated in 103 patients at a general hospital.
  • Evaluated interventions including open three-compartment fasciotomy, arterial reconstruction, external fracture fixation, and delayed primary wound closure.
  • Identified that arterial spasm alone does not account for acute limb ischemia following trauma.
  • Demonstrated that associated soft-tissue injury warrants arterial reconstruction even when muscle rigor and anesthesia are present.
  • Observed clinical benefits from applying open three-compartment fasciotomy for severe vascular ischemia and external fixation for complex compound injuries.

Cite This Study

Robbs et al. (1978) studied this question.

synapsesocial.com/papers/6a82e77bd5d5076d1fb29352https://doi.org/10.1097/00005373-197805000-00005
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Upper and lower limb fractures with concomitant arterial injury1992 · 58 citations
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  3. 3Advances in treatment of vascular injuries from blunt and penetrating limb trauma1992 · 32 citations
  4. 4Principles in the Management of Arterial Injuries Associated with Fracture/Dislocations1975 · 51 citations
  5. 5Civilian Arterial Injuries1976 · 72 citations