Management of Combined Orthopedic and Vascular Traumas

Abstract

Background & Objectives: Orthopedic trauma and vascular trauma are the cases that can be seen clinically and can have negative consequences if not intervened appropirately. In this study, we presented our clinical experiences regarding vascular traumas in combination with extremity fractures or dislocations. Methods: Between November 2012 and February 2020, a total of 95 patients (78 male, 17 female, and mean age 34.7 ± 5.6 years) who underwent a surgical treatment for combined orthopedic and vascular trauma were included in the study. Patients were retrospectively evaluated according to their clinical properties, while the treatment strategies and the results were performed. Results: Traffic accidents were the most common reason of the trauma with the rate of 36.8% (n=35). The most common orthopedic injury was seen in femur, whereas the most common vascular injury was on superficial femoral artery. The most commonly performed vascular treatment method was primary repair, and orthopedic treatment was external fixation. Mortality rate was 2.1% (n=2) and amputation rate was 15.7% (n=15). Conclusion: Combined orthopedic vascular traumas are seen less frequently than isolated vascular traumas, but mortality and amputation rates are higher. In order to decrease mortality and amputation rates, communication should be perfectly coordinated between the emergency department and orthopedic and cardiovascular surgery clinics and urgent intervention is crucial.