E-ISSN 2367-699X | ISSN 2367-7414
 

Mini Review 


Vascular Trauma in Extremity Fractures, Management and Prognosis: A Mini review

Panji Sananta, William Putera Sukmajaya, Muhammad Alwy Sugiarto.

Abstract
Fractures remain a significant health problem globally, and their incidence has increased by more than 30% since the 1990s. Furthermore, fractures associated with vascular injury are not uncommon. A vascular injury may be classified as penetrating, or Penetrating blunt injury is often obvious, resulting in laceration of the vessel wall. Meanwhile, blunt trauma cause variable damage to the vessel wall, from miniscule intimal flap to transmural damage with extravasation or thrombosis. There are several methods to diagnose vascular trauma in limb fractures. However, physical examination is still the first and foremost modality in diagnosing vascular trauma. Then, we can use the Ankle-brachial index (ABI) test or Color Doppler ultrasound, and angiography is required if ABI is <0.9 for established diagnosis. CT angiography (CTA) can also be a valuable tool in assessing the peripheral vascular injury.
On the other hand, tools for diagnosis and the management of peripheral vascular injury have evolved in recent years. There is various management of vascular trauma, such as Non-operative management, Endovascular management, Intravascular shunt, End-to-end anastomoses, and Interposition Graft. This all management depends on the grading and condition of the wound. The principles goals of treatment are control of the bleeding and restoration of distal perfusion to achieve limb salvage. There are several factors affecting the outcome of peripheral vascular injury. Several worse predictors are high energy mechanism, blunt trauma, and associated musculoskeletal injuries. Blunt trauma and musculoskeletal injuries are predictors of a higher amputation rate, worse functional recovery, and increased length of stay.

Key words: Vascular Trauma, Fracture Extremity, Diagnose, Management, Prognosis


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Panji Sananta
Articles by William Putera Sukmajaya
Articles by Muhammad Alwy Sugiarto
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Sananta P, Sukmajaya WP, Sugiarto MA. Vascular Trauma in Extremity Fractures, Management and Prognosis: A Mini review. Int J Surg Med. 2022; 8(2): 38-40. doi:10.5455/ijsm.136-1647393655


Web Style

Sananta P, Sukmajaya WP, Sugiarto MA. Vascular Trauma in Extremity Fractures, Management and Prognosis: A Mini review. https://www.ejos.org/?mno=102208 [Access: August 21, 2022]. doi:10.5455/ijsm.136-1647393655


AMA (American Medical Association) Style

Sananta P, Sukmajaya WP, Sugiarto MA. Vascular Trauma in Extremity Fractures, Management and Prognosis: A Mini review. Int J Surg Med. 2022; 8(2): 38-40. doi:10.5455/ijsm.136-1647393655



Vancouver/ICMJE Style

Sananta P, Sukmajaya WP, Sugiarto MA. Vascular Trauma in Extremity Fractures, Management and Prognosis: A Mini review. Int J Surg Med. (2022), [cited August 21, 2022]; 8(2): 38-40. doi:10.5455/ijsm.136-1647393655



Harvard Style

Sananta, P., Sukmajaya, . W. P. & Sugiarto, . M. A. (2022) Vascular Trauma in Extremity Fractures, Management and Prognosis: A Mini review. Int J Surg Med, 8 (2), 38-40. doi:10.5455/ijsm.136-1647393655



Turabian Style

Sananta, Panji, William Putera Sukmajaya, and Muhammad Alwy Sugiarto. 2022. Vascular Trauma in Extremity Fractures, Management and Prognosis: A Mini review. International Journal of Surgery and Medicine, 8 (2), 38-40. doi:10.5455/ijsm.136-1647393655



Chicago Style

Sananta, Panji, William Putera Sukmajaya, and Muhammad Alwy Sugiarto. "Vascular Trauma in Extremity Fractures, Management and Prognosis: A Mini review." International Journal of Surgery and Medicine 8 (2022), 38-40. doi:10.5455/ijsm.136-1647393655



MLA (The Modern Language Association) Style

Sananta, Panji, William Putera Sukmajaya, and Muhammad Alwy Sugiarto. "Vascular Trauma in Extremity Fractures, Management and Prognosis: A Mini review." International Journal of Surgery and Medicine 8.2 (2022), 38-40. Print. doi:10.5455/ijsm.136-1647393655



APA (American Psychological Association) Style

Sananta, P., Sukmajaya, . W. P. & Sugiarto, . M. A. (2022) Vascular Trauma in Extremity Fractures, Management and Prognosis: A Mini review. International Journal of Surgery and Medicine, 8 (2), 38-40. doi:10.5455/ijsm.136-1647393655