(v) The Management of Vascular Injuries in Extremity Trauma

Unrecognised vascular injuries following extremity trauma can result in disastrous outcomes ranging from limb dysfunction to amputation. All extremity trauma should be approached with a high index of suspicion for vascular injuries. Clinical examination is the mainstay of diagnosis. The role of Colo...

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Bibliographic Details
Published inCurrent orthopaedics Vol. 17; no. 4; pp. 287 - 291
Main Authors Dueck, Andrew D, Kucey, Daryl S
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.08.2003
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Summary:Unrecognised vascular injuries following extremity trauma can result in disastrous outcomes ranging from limb dysfunction to amputation. All extremity trauma should be approached with a high index of suspicion for vascular injuries. Clinical examination is the mainstay of diagnosis. The role of Colour Flow Doppler scanning is expanding. In the operating room, patients should be heparinised, damaged arterial segments should be debrided and primary end-to-end anastomosis is the preferred method of repair. Compartment syndrome and thrombosis are major postoperative complications that demand prompt diagnosis and treatment.
ISSN:0268-0890
1532-2068
DOI:10.1016/S0268-0890(03)00104-X