Lower extremity arterial injuries over a six-year period: outcomes, risk factors, and management

Basit Öğe Kaydı
dc.contributor.authorTopal, Askin Ender
dc.contributor.authorEren, Mehmet Nesimi
dc.contributor.authorCelik, Yusuf
dc.date.accessioned2024-04-24T17:18:29Z
dc.date.available2024-04-24T17:18:29Z
dc.date.issued2010
dc.departmentDicle Üniversitesien_US
dc.description.abstractPurpose: Limb loss following lower extremity arterial injury is not uncommon and has serious implications on the patient's life and functionality. This retrospective study was performed to analyze the results of lower extremity arterial injuries and to identify the risk factors associated with amputation. Methods: Between 2002 and 2009, retrospectively collected data on 140 patients with 173 lower extremity arterial injuries were analyzed. Results: There were 133 males (95%) and 7 females (5%). The mechanism of injuries was gunshot wounds in 56.4% of cases, stab wounds in 30%, and blunt trauma in 13.4%. Associated injuries included vein injury in 45% of cases, nerve injury in 16.4%, and bone fracture in 31.4%. The most frequently injured artery was superficial femoral artery (31.2%). More than 1 artery was injured in 18.6% of patients. Surgery was carried out, with a limb salvage rate of 90.4% and a survival of 97.1%. Amputation was performed in 75% of patients in whom only 1 artery was repaired, although all crural arteries were injured. Multivariate logistic regression analysis showed that significant risk factors of outcome were below-knee multiple arterial injuries (odds ratio [OR] 6.62, P < 0.001), associated 2-bone fractures (OR 2.71, P = 0.003), development of compartment syndrome (OR 1.94, P = 0.042), and great soft tissue disruption (OR 1.74, P = 0.010). Conclusions: Limb loss may be decreased by performing prophylactic fasciotomy more often and by repairing at least 2 crural arteries.en_US
dc.identifier.doi10.2147/VHRM.S15316
dc.identifier.endpage1110en_US
dc.identifier.issn1176-6344
dc.identifier.issn1178-2048
dc.identifier.pmid21191430en_US
dc.identifier.scopus2-s2.0-80051874889en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage1103en_US
dc.identifier.urihttps://doi.org/10.2147/VHRM.S15316
dc.identifier.urihttps://hdl.handle.net/11468/18802
dc.identifier.volume6en_US
dc.identifier.wosWOS:000210403200110
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherDove Medical Press Ltden_US
dc.relation.ispartofVascular Health and Risk Managementen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLower Extremityen_US
dc.subjectArteryen_US
dc.subjectAmputationen_US
dc.subjectRisk Factoren_US
dc.titleLower extremity arterial injuries over a six-year period: outcomes, risk factors, and managementen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu