Chapter

Combined vascular and orthopaedic injuries

E. Chaloner

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI: http://dx.doi.org/10.1093/med/9780199550647.003.012009

Series: Oxford Textbooks

Combined vascular and orthopaedic injuries

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Early diagnosis of an arterial injury is critical in reducing the risk of limb loss

Don’t assume that missing pulses are due to arterial ‘spasm’

Don’t assume that presence of distal pulses rules out a proximal vascular injury – arterial intimal tears can occlude the vessel many hours after the initial injury

After an arterial repair has been completed there is still a risk of subsequent compartment syndrome from reperfusion

Arterial shunts can procure some time for skeletal fixation prior to definitive arterial repair or grafting.

Chapter.  4402 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Vascular Surgery

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