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  3. 24.Study of Repair of Lower Extremity Arteries with Late Presentation after Blunt and Penetrating Trauma
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24.Study of Repair of Lower Extremity Arteries with Late Presentation after Blunt and Penetrating Trauma

Ilyas Sadiq, Muhammad Nasir, Farhan Iftikhar and Rimal Ilyas

ABSTRACT

Objective: To evaluate the surgical outcomes of delayed presented lower extremities injuries following blunt and penetrating trauma.

Study Design: A prospective study

Place and Duration of Study: This study was conducted at the vascular surgical unit of Doctor Hospital and Medical center Lahore for 1 year from Oct 2020 to Oct 2021.

Materials and Methods: The study included confirmed cases of arterial injuries of lower limbs following blunt and penetrating trauma presented to us after 24hours. Whereas, patients with non-salvageable limbs were excluded from the study. Surgical revascularization was carried out in all the cases in an attempt to repair lower limb arteries. The patients were assessed for amputation rate, mortality rate. Patients were followed for at least 3 months, postoperatively to evaluate complications (if any).

Results: A total of 22 patients were included in the study. External iliac artery injury (EIA) and common femoral artery injury (CFA) were presented in 9% patients, superficial femoral artery injury (SFA) was affected in 31.8%, and popliteal artery injury (PA) in 59%. The average hospital presentation time was 28.3 hrs. There was no mortality. Amputation was done in 9% patients with popliteal artery injury because of muscle necrosis, increasing infection. The secondary amputation rate was significantly higher in the PA group than in the other two groups. Soft tissue infection and tissue necrosis are the most reported complications in all three groups.

Conclusion: Though amputation or limb complications may develop over time because of limited revascularization time of vessels, the rate of such complications is limited. Moreover, popliteal artery injury leads to most complications among other lower vascular injuries.

Key Words: Blunt trauma, penetrating trauma, lower limb arterial injury, revascularization, surgical repair, vascular injuries.

Citation of article: Sadiq I, Nasir M, Iftikhar F, Ilyas R. Study of Repair of Lower Extremity Arteries with Late Presentation after Blunt and Penetrating Trauma. Med Forum 2022;33(4):97-100.