Complications of extremity vascular injuries in conflict

Brown, Kate V., Ramasamy, Arul, Tai, Nigel, MacLeod, Judith, Midwinter, Mark and Clasper, Jon C. (2009) Complications of extremity vascular injuries in conflict. Journal of Trauma, 66 SUPPL. 4: S145-S149. doi:10.1097/TA.0b013e31819cdd82

Author Brown, Kate V.
Ramasamy, Arul
Tai, Nigel
MacLeod, Judith
Midwinter, Mark
Clasper, Jon C.
Title Complications of extremity vascular injuries in conflict
Journal name Journal of Trauma   Check publisher's open access policy
ISSN 0022-5282
Publication date 2009-04-01
Year available 2009
Sub-type Article (original research)
DOI 10.1097/TA.0b013e31819cdd82
Open Access Status Not yet assessed
Volume 66
Issue SUPPL. 4
Start page S145
End page S149
Total pages 5
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Language eng
Formatted abstract
Introduction: The extremities remain the most common sites of wounding in conflict, are associated with a significant incidence of vascular trauma, and have a high complication rate (infection, secondary amputation, and graft thrombosis).

Aim: The purpose of this study was to study the complication rate after extremity vascular injury. In particular, the aim was to analyze whether this was influenced by the presence or absence of a bony injury.

Methods: A prospectively maintained trauma registry was retrospectively reviewed for all UK military casualties with extremity injuries (Abbreviated Injury Score >1) December 8, 2003 to May 12, 2008. Demographics and the details of their vascular injuries, management, and outcome were documented using the trauma audit and medical notes.

Results: Thirty-four patients (34%)-37 limbs (30%)-had sustained a total of 38 vascular injuries. Twenty-eight limbs (22.6%) had an associated fracture, 9 (7.3%) did not. Twenty-nine limbs (23.4%) required immediate revascularization to preserve their limb: 16 limbs (13%) underwent an initial Damage Control procedure, and 13 limbs (10.5%) underwent Definitive Surgery. Overall, there were 25 limbs (20.2%) with complications. Twenty-two were in the 28 limbs with open fractures, 3 were in the 9 limbs without a fracture (p < 0.05). There was no significant difference in the complication rate with respect to upper versus lower limb and damage control versus definitive surgery.

Conclusion: We have demonstrated that prognosis is worse after military vascular trauma if there is an associated fracture, probably due to higher energy transfer and greater tissue damage.
Keyword Gunshot wound
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 18 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Sat, 03 Dec 2016, 01:55:10 EST by System User on behalf of Learning and Research Services (UQ Library)