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- W2154491275 abstract "The Journal of Bone and Joint Surgery. British volumeVol. 80-B, No. 2 TraumaFree AccessVascular injuries in compound fractures of the leg with initially adequate circulationS. Waikakul, S. Sakkarnkosol, V. VanadurongwanS. WaikakulAssociate ProfessorSearch for more papers by this author, S. SakkarnkosolConsultant Orthopaedic SurgeonSearch for more papers by this author, V. VanadurongwanAssociate ProfessorSearch for more papers by this authorPublished Online:1 Mar 1998https://doi.org/10.1302/0301-620X.80B2.0800254AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail AbstractWe carried out a randomised, controlled trial in 157 patients who had isolated severe Gustilo type-IIIa and type-IIIb fractures of the metaphysis or diaphysis of the leg to determine the prevalence of vascular injuries and the role of vascular repair. All patients had stable vital signs and clinically adequate circulation in their legs before operation. In a control group of 64 patients we performed conventional surgery with systematic debridement and primary stabilisation of the fractures. In the trial group of 93 patients the major vessels and nerves adjoining the compound fracture were routinely explored and repaired when necessary after the initial procedure.Two of the 28 control patients (7.1%) with type-IIIb compound fractures had signs of inadequate circulation after the first operation. Both had major vascular injuries which were demonstrated at a second procedure. In the trial group, major vascular injuries were found in two of 54 patients (3.7%) with type-IIIa and 11 of 39 patients (28.2%) with type-IIIb compound fractures. Compared with the control group the trial group showed improved results at both the immediate and long-term follow-up.Routine exploration and early repair of injured major vessels of the leg in severe compound fractures gave encouraging results.FiguresReferencesRelatedDetailsCited ByArterial injury in tibial fracture correlates with trauma severity and orthopaedic outcomesOrthoplastic Surgery, Vol. 7Soft Tissue Reconstruction for Open Tibia FracturesArchives of Hand and Microsurgery, Vol. 25, No. 3How common are vascular injuries in open tibial fractures? A prospective longitudinal cohort study13 March 2019 | European Journal of Orthopaedic Surgery & Traumatology, Vol. 29, No. 5Initial Care of the Patient with Blunt PolytraumaClinical Orthopaedics and Related Research, Vol. 422 Vol. 80-B, No. 2 Metrics History Published online 1 March 1998 Published in print 1 March 1998 InformationCopyright © 1998, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download" @default.
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- W2154491275 title "Vascular injuries in compound fractures of the leg with initially adequate circulation" @default.
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