Arterial Damage Accompanying Supracondylar Fractures of the Humerus

Autor:	Hamid Heydari, Maryam Mohammadzadeh, Vahid Mohammadzadeh, Sona Najafi, Rasoul Herfatkar, Michael Jalili, Iraj Baghi, Mohammad Ali Mohammadzadeh, Ali Mohammadzadeh
Rok vydání:	2011
Předmět:	medicine.medical_specialty Decompression business.industry General Medicine Humerus Arterial repair Limb ischemia Kowsar Surgery medicine.anatomical_structure medicine Original Article medicine.symptom Contracture Bone Claudication Limb loss business Fractures
Zdroj:	Trauma Monthly
ISSN:	2251-7472 2251-7464
DOI:	10.5812/kowsar.22517464.3273
Popis:	Background Arterial damage is sometimes associated with supracondylar fractures of the humerus. Diagnosis and careful management of the fracture and arterial repair is crucial. Objectives The aim of this study was to determine the prevalence and outcome of supracondylar fractures of the humerus with signs and symptoms of limb ischemia, before and after arterial decompression or arterial reconstruction. Materials and methods From September 2004 to July 2010, 225 consecutive patients with supracondylar fracture of the humerus were prospectively recruited. Results From among 75 cases with Gartland type III fractures, 22 were found to have vascular injury.. Of the 22 cases with vascular injury, 7 patients underwent arterial reconstruction. The other 15 received arterial decompression. All patients had a satisfactory outcome. Conclusions A high level of suspicion and careful clinical evaluation leading to an early diagnosis and management of vascular injury accompanying supracondylar fracture is very important to prevent unnecessary sequelae ranging from limb claudication, and compartment syndrome to more severe complications like Volkmann's contracture and even limb loss.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c05c8016f8e1fbd2916ff4abd897156e https://doi.org/10.5812/kowsar.22517464.3273 Zobrazit plný text záznamu