[Vascular reconstruction following trauma. Experience in Basel 1980-1988].
From 1980-1988 twenty patients with vascular trauma were treated at the Kantonsspital Basel, Switzerland. The incidence of 1% in open fractures is low. Nerve lesions in combination with vascular trauma are very frequent, specially at the upper extremity. Nearly all patients were treated with the interposition of a venous graft from the vena saphena magna. We deplore 3 amputations after successful vascular reconstruction, mainly due to extensive bone and soft tissue damage. Our long-term control shows very satisfying vascular results, but poor neurological results. We therefore conclude that the functional outcome is--apart from a short ischemia time--highly related to the neurological situation at the time of the trauma.
Heim
D
D
Landmann
J
J
D000328:Adult; D001132:Arm / Q000098:blood supply*; D001134:Arm Injuries / Q000601:surgery*; D001158:Arteries / Q000293:injuries; D005260:Female; D005593:Fracture Fixation, Internal; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D007866:Leg / Q000098:blood supply*; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D014680:Veins / Q000293:injuries
Gefässrekonstruktion nach Trauma. Basler Erfahrungen von 1980-1988.