[Treatment of limb injuries at a regional center].
BACKGROUND
The objective of the study was to analyse the causes of injury, surgical approaches, outcome, and complications with vascular trauma in patients operated on over a period between 1986-2006.


METHODS
In 128 patients with peripheral arterial injuries the mechanism was direct penetration in 90 cases and blunt injury in 30 cases. In 8 cases a chronic damage (false aneurysm, AV fistula) was observed. Isolated vascular trauma was present in 97 patients (75.8%), 31 cases (24.2%) were complicated by concomitant bone fractures,and nerve or soft tissue damage. Most frequently injured vessels were the superficial femoral (22.6%) crural (22.6%),and ulnar and radial (13.2%) arteries.


RESULTS
In 132 cases operation had to be performed. Direct suture 26, interposition in arterial injuries 26, interposition in venous injuries 5, end to end anastomosis in 12 cases, venous patches in 7 cases were the operation method. In 28 cases non-reconstructive operation was carried out, and there were 4 endovascular procedures. Five secondary amputations were performed and five patients died. The limb salvage rate was 95%.


CONCLUSIONS
Most vascular injuries of the extremities can be managed successfully unless associated with severe concomitant damage of the bones, nerves and soft tissues.
Galambos
Barnabás
B
Petz Aladár Megyei Oktatókórház Gyor, Ersebészeti Osztály.
Banga
Péter
P
Kövesi
Zsolt
Z
Németh
József
J
Jakab
Lajos
L
Czigány
Tamás
T
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D000714:Anastomosis, Surgical; D001158:Arteries / Q000601:surgery; D002648:Child; D005121:Extremities / Q000098:blood supply / Q000293:injuries* / Q000601:surgery*; D005260:Female; D050723:Fractures, Bone / Q000209:etiology / Q000601:surgery; D006801:Humans; D006814:Hungary; D023821:Limb Salvage; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*; D014680:Veins / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000601:surgery; D014950:Wounds, Penetrating / Q000209:etiology / Q000601:surgery