Limb loss following lower extremity arterial trauma: what can be done proactively?

Guerrero, Alejandro; Gibson, Kathleen; Kralovich, Kurt A.; Pipinos, Iraklis I.; Agnostopolous, Petros; Carter, Yvonne; Bulger, Eileen M.; Meissner, Mark H.; Karmy-Jones, Riyad

doi:10.1016/s0020-1383(01)00175-9

Cited by 55 publications

(69 citation statements)

References 17 publications

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“…12 However, certain injury patterns have been associated with higher likelihood of fasciotomy. ECS can be associated with orthopedic or vascular injuries.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Complications After Fasciotomy Revision and Delayed Compartment Release in Combat Patients

Ritenour¹,

Dorlac²,

Fang³

et al. 2008

Journal of Trauma: Injury, Infection &Amp; Critical Care

185

110

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“…12 However, certain injury patterns have been associated with higher likelihood of fasciotomy. ECS can be associated with orthopedic or vascular injuries.…”

Section: Discussionmentioning

confidence: 99%

“…They noted a 41% amputation rate in patients who developed postoperative ECS, which was significantly higher than the 6.7% amputation rate in those who did not. 12 Another study found that even with adequate fascial incisions, inadequate skin incisions prevented complete compartmental decompression.…”

Section: Discussionmentioning

confidence: 99%

Complications After Fasciotomy Revision and Delayed Compartment Release in Combat Patients

Ritenour¹,

Dorlac²,

Fang³

et al. 2008

Journal of Trauma: Injury, Infection &Amp; Critical Care

185

110

View full text Add to dashboard Cite

“…In case of the ligation of the central vein, the possibility of fasciotomy would be increased due to the compartment syndrome which is a major risk factor for limb loss. Thus, the venous patency should be saved at the end of the vascular operations [1].…”

Section: Casementioning

confidence: 99%

“…At the end of the revascularization, muscle and tendon repair or other orthopedic reconstructions were performed. In these cases with a delay in revascularization greater than 6 hours and in the presence of combined arterial and venous injury, a prophylactic fasciotomy should be performed [1].…”

Section: Casementioning

confidence: 99%

“…The main predispositions for the limb loss after lower extremity GSWs are associated with various factors. These factors include the extent of tissue damage, duration of ischemia, concomitant arterial and venous involvement, and the presence of compartment syndrome [1]. In this paper, three cases with lower extremity GSWs in the popliteal region were presented.…”

Section: Introductionmentioning

confidence: 99%

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Gunshot injuries of the popliteal vessels: A report of three cases

Başbuğ¹,

Günerhan²,

Göçer³

et al. 2017

Arch Clin Exp Surg

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IntroductionLower extremity vascular injuries include gunshot wounds (GSWs), traffic accidents, penetrating injuries, blunt injuries, and industrial injuries. Major vascular injuries after GSWs may associate with different findings like bone fractures, massive bleeding, hypovolemic shock, soft tissue disruption, acute ischemia, and neurological deficit. The main predispositions for the limb loss after lower extremity GSWs are associated with various factors. These factors include the extent of tissue damage, duration of ischemia, concomitant arterial and venous involvement, and the presence of compartment syndrome [1]. In this paper, three cases with lower extremity GSWs in the popliteal region were presented. It aimed to emphasize the importance of prompt diagnosis and the management and to remind the readers of the related procedural information in the light of these cases.Case 1 A 24-year-old male patient was examined at the Emergency Department with low velocity (bullet injury) GSW on his right lower extremity. His blood pressure was 110/70 mmHg and heart rate was 120 bpm (sinus tachycardia). Distal pulses on his right lower extremity were not palpable. The musculoskeletal defect of the right popliteal region was severe, and the disruption was between the popliteal artery (POPA) and tibioperoneal artery (TPA) at the popliteal region. On the other hand, sciatic nerve and the peroneal nerve were not affected by the thermal damage. Computerized Gunshot injuries of the popliteal vessels: A report of three casesHamit Serdar Basbug, Yalcin Gunerhan, Hakan Gocer, Kanat Ozisik ABSTRACTLower extremity vascular injuries occur due to gunshot wounds, traffic accidents, penetrating and blunt injuries, or industrial injuries. Gunshot wounds with vascular injuries have been increased among the civilian population. Lower extremity gunshot wounds have severe and acute complications of bone fractures, abundant bleeding, hypovolemic shock, soft tissue disruption, acute ischemia, neurological deficit, limb loss, or even death. The amputation rate of the popliteal injuries differs between 27% and 54%. In this paper, preoperative management and surgical experience in the popliteal region vascular injuries in three massively impaired cases were presented. Different surgical approaches performed in these patients due to the variety of pathologies were also discussed.

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Meta-analysis of prognostic factors for amputation following surgical repair of lower extremity vascular trauma

Perkins

Yet

Glasgow

et al. 2015

British Journal of Surgery

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Limb loss following lower extremity arterial trauma: what can be done proactively?

Cited by 55 publications

References 17 publications

Complications After Fasciotomy Revision and Delayed Compartment Release in Combat Patients

Complications After Fasciotomy Revision and Delayed Compartment Release in Combat Patients

Gunshot injuries of the popliteal vessels: A report of three cases

Meta-analysis of prognostic factors for amputation following surgical repair of lower extremity vascular trauma

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