Open tibial fractures with associated vascular injuries: prognosis for limb salvage

J Trauma. 1985 Mar;25(3):203-8. doi: 10.1097/00005373-198503000-00006.

Abstract

Open tibial fractures complicated by limb-threatening vascular injuries present an infrequent but difficult management problem. Twenty-three cases were reviewed with an ultimate amputation rate of 61% (22% primary, 39% delayed). Crush injuries, segmental tibial fractures, and revascularization delays of greater than 6 hours were associated with a bad outcome. Guidelines for primary amputation (crushing injuries, delay in revascularization, segmental tibial fractures) are proposed and implications of limb salvage are reviewed.

MeSH terms

  • Accidents, Traffic
  • Adult
  • Aged
  • Amputation*
  • Blood Vessels / injuries*
  • Female
  • Fracture Fixation
  • Fracture Fixation, Internal
  • Fractures, Open / etiology
  • Fractures, Open / surgery*
  • Humans
  • Leg / blood supply*
  • Leg / surgery
  • Male
  • Middle Aged
  • Prognosis
  • Tibial Fractures / etiology
  • Tibial Fractures / surgery*
  • Time Factors
  • Vascular Surgical Procedures
  • Veins / transplantation
  • Wounds, Gunshot / surgery