Outcomes of digital artery revascularization in pediatric trauma
| Autor: | Jozef Zoldos, Crystal S. Langlais, Kathleen Graziano, Jared T. Muenzer, Mary Kirkilas, Maria E. Linnaus, David M. Notrica |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment 030230 surgery Revascularization Amputation Surgical Fingers 03 medical and health sciences Postoperative Complications 0302 clinical medicine Blunt Finger Injuries medicine Humans Child Vein Retrospective Studies business.industry Incidence (epidemiology) Infant Newborn Infant Retrospective cohort study Arteries General Medicine Vascular System Injuries medicine.disease Numerical digit Surgery Treatment Outcome medicine.anatomical_structure Amputation Child Preschool 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Female business Vascular Surgical Procedures Follow-Up Studies Pediatric trauma |
| Zdroj: | Journal of Pediatric Surgery. 51:1543-1547 |
| ISSN: | 0022-3468 |
| Popis: | Background Digit amputation is rare in pediatric trauma but can lead to functional morbidity. The true incidence of digital arterial injury is lacking in the literature, and revascularization techniques are not well-described. Methods Retrospective review of a pediatric trauma registry identified patients with a digital artery injury between July 2008 and December 2013. Isolated vein injuries and arterial injuries proximal to the digits were excluded. Descriptive statistics were used. Results Twenty-five subjects met inclusion. Most were male ( n =16; 64%) and the median age was 6.8 (IQR: 2.8, 11.1) years. The most common blunt ( n =12) trauma was struck/crushed by object ( n =4; 33%) and the most common penetrating ( n =13) trauma was because of glass ( n =9; 69%). All subjects were managed operatively. Initial operations for arterial repair were primary arterial repair (15; 20%), vein graft (7; 28%), thrombectomy (1; 4%), and amputation (1; 4%). Twelve patients (48%) had reported complications at initial follow-up, but only two (8%) had long-term (>24weeks) sequelae. Conclusion Digital artery injury is rare among pediatric traumas. Functional outcomes after digital artery revascularization are favorable. Primary repair can successfully manage these injuries and vein grafting appears to be a suitable alternative when primary repair is not feasible. |
| Databáze: | OpenAIRE |
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