ArterialExtremityTrauma: PrognosticIndicators
A YMAN M ATEF EL SAMADONI;
Abstract
Extremity vascular injuries can result in limb loss, life long disability or ven death in characteristically young victims.
Experience obtained from the major wars of the twentieth century
•>rovided the basis of the current management of peripheral arterial injuries. ince the first introductionof the principles of arterial injury's repair in the
<:.orean conflict and its further refinement at the Vietnam War, success of
.rterial injury become almost a routine. Yet prognosis of limb injured after an
•ncident of arterial injury do relay upon other factors than simply the mere tence of arterial injury. In the study presented here by a study of these "actors is enrolled to verify the impact of these factors on the overall Jrognosis of a limb after an incident of arterial injury.
Recurring regional conflicts, ceaseless toll of accidents at work and on he roads as well as terrorism eventually means that limb vascular trauma is
1ear to stay. Physical limb trauma could either be blunt, penetrating, or
...atrogenic one and due to the relatively superficial position of the limb
.arteries they are in direct face of trauma. 1hat means any limb trauma should oe examined thoroughly for exclusion of arterial injuries and if any doubt
.arise, those limbs should be further investigated properly as not to miss
.arterial injury that may result in later development of thrombosis, gangrene or
IPseudoaneurysms.
In this series, 150 patients with alleged arterial injuries ofthe extremity were enrolled, 122 males with average age of 28.54 yeais. Mechanisms of
•trauma included Blunt (52%), Penetrating (31.4%) and least of all Iatrogenic
•ones (16.6 %).
All extremity's arteries were presented to this study the most frequent was Popliteal artery injury (32%) followed by Braclllal artery (23%), Common femoral (12%), Sup. Femoral (9%), Ext. Iliac and both radial and ulnar (5%) each, Axillary artery (4%), all Tibials arteries and ulnar artery (3%) each, and double tibial artei:y, subclavian artery and profunda femoris artery (1%) each.
Associated injuries include Skin injuries in (626%), Muscle injuries in (58 %), Skeletal injuries in (44.7 %), Nerve injuries in (29.3%) and Venous injuries in (27.3 %).
Experience obtained from the major wars of the twentieth century
•>rovided the basis of the current management of peripheral arterial injuries. ince the first introductionof the principles of arterial injury's repair in the
<:.orean conflict and its further refinement at the Vietnam War, success of
.rterial injury become almost a routine. Yet prognosis of limb injured after an
•ncident of arterial injury do relay upon other factors than simply the mere tence of arterial injury. In the study presented here by a study of these "actors is enrolled to verify the impact of these factors on the overall Jrognosis of a limb after an incident of arterial injury.
Recurring regional conflicts, ceaseless toll of accidents at work and on he roads as well as terrorism eventually means that limb vascular trauma is
1ear to stay. Physical limb trauma could either be blunt, penetrating, or
...atrogenic one and due to the relatively superficial position of the limb
.arteries they are in direct face of trauma. 1hat means any limb trauma should oe examined thoroughly for exclusion of arterial injuries and if any doubt
.arise, those limbs should be further investigated properly as not to miss
.arterial injury that may result in later development of thrombosis, gangrene or
IPseudoaneurysms.
In this series, 150 patients with alleged arterial injuries ofthe extremity were enrolled, 122 males with average age of 28.54 yeais. Mechanisms of
•trauma included Blunt (52%), Penetrating (31.4%) and least of all Iatrogenic
•ones (16.6 %).
All extremity's arteries were presented to this study the most frequent was Popliteal artery injury (32%) followed by Braclllal artery (23%), Common femoral (12%), Sup. Femoral (9%), Ext. Iliac and both radial and ulnar (5%) each, Axillary artery (4%), all Tibials arteries and ulnar artery (3%) each, and double tibial artei:y, subclavian artery and profunda femoris artery (1%) each.
Associated injuries include Skin injuries in (626%), Muscle injuries in (58 %), Skeletal injuries in (44.7 %), Nerve injuries in (29.3%) and Venous injuries in (27.3 %).
Other data
| Title | ArterialExtremityTrauma: PrognosticIndicators | Other Titles | العوامل المؤثرة فى اصابات الشرايين بالأطراف | Authors | A YMAN M ATEF EL SAMADONI | Issue Date | 1999 |
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