Functional Outcome Analysis of Long Bone Fractures and Dislocation with Vascular Injury
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 7
Abstract
Introduction: Fractures with an arterial injury requiring vascular repair are severe injuries. This type of fracture is often associated with severe soft tissue compromise and damage of neurological structures. Aim: To study the pattern of fractures and dislocations associated with vascular injury of extremities and outcomes of fracture union, function of the limb and complications in relation to fracture pattern and modality of treatment. Materials and Methods: A total of 31 patients admitted in the emergency ward with fractures and associated with vascular injury was taken into this study. All patients have been taken up for surgical intervention both for vascular repair by vascular surgeons and skeletal fixation by us. Results: Mode of injury was road traffic accidents in 27 patients (87%) of which fall from riding a two-wheeler predominated. Lower limb was most commonly involved (26 cases) and most common bone fractured was tibia. Closed fractures with vascular injury occurred in 10 cases and open injury in 21 cases. Most common artery to be involved was popliteal artery (21 cases). Patients with less Ganga Hospital scoring had improved outcome in the form of early soft tissue healing and early rehabilitation. One patient with mangled extremity severity score of 8 and Ganga Hospital score of 15 expired because of crush syndrome. Conclusion: Initial management with external fixation allows time to assess the viability of limb, edema to subside and soft tissue to recover. Delay in surgery and extensive soft tissue injury are associated with increased amputation rate.
Authors and Affiliations
G Balasubramanian, S Marimuthu, Heber Anandan
Keywords
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