title: Outcome Assessments of Patients with Posttraumatic "Ultra-Time Vascular Injuries" of the Extremities.
abstract: The management of posttraumatic vascular injury that presents after 8 h, or "ultra-time vascular injury", is daunting, and inciting recognition of this injury is vital. We retrospectively analyzed 29 patients with ultra-time vascular injuries to determine the patients' demographic characteristics and identify the determinants for amputation and disability. The age distribution of the high-risk population was from 18 years to 40 years, which indicated that these patients had plenty of productive life remaining. Injuries to the lower limbs (79.31%) were over four times more common than injuries to the upper limbs (17.24%), and open and blunt injuries occurred most commonly. The overall rate of limb salvage was 82.76% (24/29) and limb function is excellent in 45.83% (11/24) of the patients. The remaining patients experienced different degrees of disability in their limbs, which was determined by the anatomic location of the injury, and the presence of a combined arterial and venous injury, nerve injury, and complex soft tissue injury, as well as the occurrence of compartment syndrome. Hence, we recommend limb-salvage treatment for patients with traumatic ultra-time vascular injuries, particularly for those aged between 18 years and 40 years. Furthermore, we encourage the development of limb-salvage techniques for ultra-time vascular injuries.
authors.affiliation: Traumatology Department of Shandong Provincial Qianfoshan Hospital, Shandong University, Jingshi Road 16766, Jinan, Shandong 250014, PR China.
authors.forename: Yi-Feng
authors.initials: YF
authors.lastname: Sun
authors.affiliation: Liver Disease Department of the Second Hospital of Shandong University (SHSU), Beiyuan Road 247, Jinan, Shandong 250033, PR China.
authors.forename: Qiong-Xuan
authors.initials: QX
authors.lastname: Fang
authors.affiliation: The Fourth Hospital of Jinan city, Jinan, Shandong, 250031, PR China.
authors.forename: Hong-Yan
authors.initials: HY
authors.lastname: Zhan
authors.affiliation: Traumatology Department of Shandong Provincial Qianfoshan Hospital, Shandong University, Jingshi Road 16766, Jinan, Shandong 250014, PR China.
authors.forename: Fan
authors.initials: F
authors.lastname: Wang
authors.affiliation: Traumatology Department of Shandong Provincial Qianfoshan Hospital, Shandong University, Jingshi Road 16766, Jinan, Shandong 250014, PR China.
authors.forename: Wei
authors.initials: W
authors.lastname: Cao
authors.affiliation: Traumatology Department of Shandong Provincial Qianfoshan Hospital, Shandong University, Jingshi Road 16766, Jinan, Shandong 250014, PR China.
authors.forename: Gang
authors.initials: G
authors.lastname: Zhao
mesh_terms: D000328:Adult; D000671:Amputation, Surgical; D003710:Demography; D004185:Disability Evaluation; D005260:Female; D006230:Hand Injuries / Q000209:etiology*; D006801:Humans; D007869:Leg Injuries / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012044:Regression Analysis; D057772:Vascular System Injuries / Q000209:etiology*; D014947:Wounds and Injuries / Q000150:complications*