Abstract
Outcome after revascularisation of marginally viable limbs and dead limbs following lower limb arterial injuries
Highlights
Lower limb vascular injury occurs at a rate of 2% to 3% in civilian trauma [1]
Patients who presented with an arterial injury to teaching hospital Anuradhapura (THA) either with a viable limb (Group 1) or a dead or marginally viable limb (Group 2), from January 2015 to January 2016 were included in the analysis
Patients with an injury beyond the popliteal division were excluded from the analysis because of the difficulty in determining the number of vessels injured and these injuries were often associated with severe soft tissue injury
Summary
Lower limb vascular injury occurs at a rate of 2% to 3% in civilian trauma [1]. Traditionally if the limb is anaesthetic and paralytic (dead limb) or after fasciotomy if two or more lower limb compartments are non-viable (marginally viable limb), revascularisation is not attempted because of the risks of reperfusion effects [2]. Patients who presented with an arterial injury to teaching hospital Anuradhapura (THA) either with a viable limb (Group 1) or a dead or marginally viable limb (Group 2), from January 2015 to January 2016 were included in the analysis. Patients’ demographic details, ischaemic time (time from the injury to revascularisation), artery injured, cause of arterial injury and the type of intervention were recorded. Those systemically unfit for an intervention or incomplete records were excluded.
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