Lower extremity vascular trauma

A comprehensive, aggressive approach

Elizabeth M. Ashworth, Michael Dalsing, John L. Glover, M. Kathleen Reilly

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

During this study, 25 patients (26 limbs) incurred 37 vascular injuries to the lower extremity. The majority were young males injured by penetrating trauma (84%). There were 25 arterial and 12 venous injuries (two isolated). Sixteen patients had soft-tissue injuries, 12 had fractures, and six had peroneal nerve damage. Twenty-two arterial injuries were repaired, the majority (17) by saphenous vein bypass. Three tibial vessels were ligated. All major venous injuries were repaired. No synthetic material was used. Vascular repair took precedence in all but two cases. After repair, the vascular surgeon assisted with stabilization. Thirteen limbs required fasciotomy; nine required subsequent debridements and later plastic reconstruction. Limb salvage was 96%. More important, 21 patients can ambulate independently on the injured extremity (84%). These results support an aggressive approach to lower extremity vascular trauma with repair of all major arterial and venous injuries in conjunction with aggressive debridement and soft-tissue repair.

Original languageEnglish
Pages (from-to)329-336
Number of pages8
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume28
Issue number3
StatePublished - 1988

Fingerprint

Blood Vessels
Lower Extremity
Wounds and Injuries
Extremities
Debridement
Soft Tissue Injuries
Peroneal Nerve
Limb Salvage
Vascular System Injuries
Saphenous Vein

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Surgery

Cite this

Lower extremity vascular trauma : A comprehensive, aggressive approach. / Ashworth, Elizabeth M.; Dalsing, Michael; Glover, John L.; Kathleen Reilly, M.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 28, No. 3, 1988, p. 329-336.

Research output: Contribution to journalArticle

Ashworth, Elizabeth M. ; Dalsing, Michael ; Glover, John L. ; Kathleen Reilly, M. / Lower extremity vascular trauma : A comprehensive, aggressive approach. In: Journal of Trauma - Injury, Infection and Critical Care. 1988 ; Vol. 28, No. 3. pp. 329-336.
@article{c6623708a9ea4546beb5176751291c0c,
title = "Lower extremity vascular trauma: A comprehensive, aggressive approach",
abstract = "During this study, 25 patients (26 limbs) incurred 37 vascular injuries to the lower extremity. The majority were young males injured by penetrating trauma (84{\%}). There were 25 arterial and 12 venous injuries (two isolated). Sixteen patients had soft-tissue injuries, 12 had fractures, and six had peroneal nerve damage. Twenty-two arterial injuries were repaired, the majority (17) by saphenous vein bypass. Three tibial vessels were ligated. All major venous injuries were repaired. No synthetic material was used. Vascular repair took precedence in all but two cases. After repair, the vascular surgeon assisted with stabilization. Thirteen limbs required fasciotomy; nine required subsequent debridements and later plastic reconstruction. Limb salvage was 96{\%}. More important, 21 patients can ambulate independently on the injured extremity (84{\%}). These results support an aggressive approach to lower extremity vascular trauma with repair of all major arterial and venous injuries in conjunction with aggressive debridement and soft-tissue repair.",
author = "Ashworth, {Elizabeth M.} and Michael Dalsing and Glover, {John L.} and {Kathleen Reilly}, M.",
year = "1988",
language = "English",
volume = "28",
pages = "329--336",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Lower extremity vascular trauma

T2 - A comprehensive, aggressive approach

AU - Ashworth, Elizabeth M.

AU - Dalsing, Michael

AU - Glover, John L.

AU - Kathleen Reilly, M.

PY - 1988

Y1 - 1988

N2 - During this study, 25 patients (26 limbs) incurred 37 vascular injuries to the lower extremity. The majority were young males injured by penetrating trauma (84%). There were 25 arterial and 12 venous injuries (two isolated). Sixteen patients had soft-tissue injuries, 12 had fractures, and six had peroneal nerve damage. Twenty-two arterial injuries were repaired, the majority (17) by saphenous vein bypass. Three tibial vessels were ligated. All major venous injuries were repaired. No synthetic material was used. Vascular repair took precedence in all but two cases. After repair, the vascular surgeon assisted with stabilization. Thirteen limbs required fasciotomy; nine required subsequent debridements and later plastic reconstruction. Limb salvage was 96%. More important, 21 patients can ambulate independently on the injured extremity (84%). These results support an aggressive approach to lower extremity vascular trauma with repair of all major arterial and venous injuries in conjunction with aggressive debridement and soft-tissue repair.

AB - During this study, 25 patients (26 limbs) incurred 37 vascular injuries to the lower extremity. The majority were young males injured by penetrating trauma (84%). There were 25 arterial and 12 venous injuries (two isolated). Sixteen patients had soft-tissue injuries, 12 had fractures, and six had peroneal nerve damage. Twenty-two arterial injuries were repaired, the majority (17) by saphenous vein bypass. Three tibial vessels were ligated. All major venous injuries were repaired. No synthetic material was used. Vascular repair took precedence in all but two cases. After repair, the vascular surgeon assisted with stabilization. Thirteen limbs required fasciotomy; nine required subsequent debridements and later plastic reconstruction. Limb salvage was 96%. More important, 21 patients can ambulate independently on the injured extremity (84%). These results support an aggressive approach to lower extremity vascular trauma with repair of all major arterial and venous injuries in conjunction with aggressive debridement and soft-tissue repair.

UR - http://www.scopus.com/inward/record.url?scp=0023937535&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023937535&partnerID=8YFLogxK

M3 - Article

VL - 28

SP - 329

EP - 336

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 3

ER -