[Vascular traumatisms of the limbs in children. Report of 94 cases].
Ninety-four cases of limb vascular traumas were observed in children during a 25 year-period. Treatment was done less than 12 hours after the injury in 83 cases, later than 24 hours in 7 cases. Superior limbs were more often concerned than inferior limbs: 65 vs 29 cases. Bone lesions were found in 34% of cases, articular lesion in 12% and neurological lesions in 40%. Vascular repair was necessary in 63 cases, mostly by suture (41 cases) or venous graft (16 cases). Two patients died because of associated polytrauma. In 8 cases, anatomical and functional results are good, but follow-up is short. In 65 cases, results were initially satisfactory; 5 patients had later complications leading to sequelae in 3 cases. In 19 cases complications occurred and led to amputation in 5 cases; among the remaining 14 patients, results were finally satisfactory in 9 cases and sequelae were observed in 4 cases. Early diagnosis problems and treatment are discussed. Associated lesions have to be taken into account to assess the results.
Debeugny
P
P
Service de Chirurgie Pédiatrique, CHU Lille.
Canarelli
J P
JP
Bonnevalle
M
M
Lapasse
L
L
Luck
H
H
Huillet
P
P
Boboyono
L
L
D000293:Adolescent; D001132:Arm / Q000098:blood supply*; D001134:Arm Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001158:Arteries / Q000293:injuries; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007866:Leg / Q000098:blood supply*; D007869:Leg Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D014680:Veins / Q000293:injuries
Traumatismes vasculaires des membres chez l'enfant. A propos de 94 observations.