The management of combined skeletal and arterial injuries of the lower extremity.
Combined skeletal, soft-tissue, and arterial injuries in lower extremity trauma are relatively common. Controversy has surrounded the priority of management of these limb- and life-threatening injuries. There are proponents for initial skeletal stabilization, and an equal number in favor of initial revascularization. The management of a multiply-traumatized patient with an ischemic limb and other life-threatening injuries, and a literature review, are presented to examine some of the issues and describe the use of vascular shunts as a method for rapid temporary revascularization of a damaged limb.
Gates
J D
JD
Harvard Medical School, Boston, Massachusetts, USA.
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D000293:Adolescent; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D005360:Fibula / Q000293:injuries* / Q000601:surgery; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply* / Q000601:surgery; D007869:Leg Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D009104:Multiple Trauma / Q000628:therapy*; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed