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open access

Vol 17, No 3 (2011)
Case report
Published online: 2011-10-24
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Management of extensive lower limb injuries with associated vascular injury — a case report and review of literature

Aleksander Łukasiewicz, Stanisław Molski
Acta Angiologica 2011;17(3):219-230.

open access

Vol 17, No 3 (2011)
Case reports
Published online: 2011-10-24

Abstract

Management of blunt injuries of lower limbs with coexistent orthopaedic and vascular lesions is one of the greatest challenges in trauma surgery. These injuries are commonly seen in young men. The aim of this publication is to describe management of such injuries, based on the case report of a man with an extensive blunt trauma of the lower limb with coexistent injuries of the osteoarticular system and major blood vessels. Management of complex injuries of lower limbs requires team cooperation of vascular surgeons and traumatology specialists. Restoration of blood supply in the injured limb seems to be a priority but exceptions from this rule are possible in cases of recent limb ischaemia. Application of temporary shunts enables orthopaedic stabilisation before the definitive vascular reconstruction takes place. Competence and experience of the operating team are prerequisites for a successful intervention.
Acta Angiol 2011; 17, 3: 219–230

Abstract

Management of blunt injuries of lower limbs with coexistent orthopaedic and vascular lesions is one of the greatest challenges in trauma surgery. These injuries are commonly seen in young men. The aim of this publication is to describe management of such injuries, based on the case report of a man with an extensive blunt trauma of the lower limb with coexistent injuries of the osteoarticular system and major blood vessels. Management of complex injuries of lower limbs requires team cooperation of vascular surgeons and traumatology specialists. Restoration of blood supply in the injured limb seems to be a priority but exceptions from this rule are possible in cases of recent limb ischaemia. Application of temporary shunts enables orthopaedic stabilisation before the definitive vascular reconstruction takes place. Competence and experience of the operating team are prerequisites for a successful intervention.
Acta Angiol 2011; 17, 3: 219–230

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Keywords

lower limb injury; vascular injury; management

About this article
Title

Management of extensive lower limb injuries with associated vascular injury — a case report and review of literature

Journal

Acta Angiologica

Issue

Vol 17, No 3 (2011)

Article type

Case report

Pages

219-230

Published online

2011-10-24

Page views

766

Article views/downloads

2564

Bibliographic record

Acta Angiologica 2011;17(3):219-230.

Keywords

lower limb injury
vascular injury
management

Authors

Aleksander Łukasiewicz
Stanisław Molski

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