Issues in revascularization of the ischemic foot and ankle war injury.
The battlefield has provided a multitude of advancements in the management of hemorrhage and vascular repair. Basic understanding of the anatomy and exposures of lower extremity injuries is essential to any surgeon caring for these patients. The techniques of repair and potential adjunctive measures (eg, shunts) available should always be considered when approaching a vascular injury. The most important concept from a vascular standpoint is the fact that a multidisciplinary approach to these complex patients is required with maximal tissue preservation when feasible and safe.
Lehmann
Ryan K
RK
Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA.
Quan
Reagan
R
Singh
Niten
N
D000671:Amputation, Surgical / Q000592:standards / Q000639:trends; D000714:Anastomosis, Surgical; D000842:Ankle / Q000098:blood supply* / Q000601:surgery; D016512:Ankle Injuries / Q000175:diagnosis / Q000601:surgery; D001753:Blast Injuries / Q000150:complications / Q000601:surgery; D001808:Blood Vessels / Q000293:injuries*; D005260:Female; D005500:Follow-Up Studies; D005528:Foot / Q000098:blood supply* / Q000601:surgery; D018409:Foot Injuries / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D015601:Injury Severity Score; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D023821:Limb Salvage / Q000592:standards / Q000639:trends; D008297:Male; D012039:Regional Blood Flow / Q000502:physiology; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D014857:Warfare; D014945:Wound Healing / Q000502:physiology