Out Come of Early Management of Lower Extremity Arterial Trauma

Abstract

This prospective study was carried out in East Surgical Unit of Mayo Hospital, Lahore from January 2000 to December 2001. This study included 26 patients who presented to A&E department of Mayo Hospital with lower extremity peripheral arterial trauma, where repair of the artery was done within 06 Hrs of the initial trauma to restore arterial circulation. All the patients were resuscitated according to ATLS manual and were admitted for further management. All were males with mean age of 35 years. 18 of these had FAI (69.2%) while 08 had blunt trauma (30.7%). 03 patients had associated open type III fracture of the proximal tibia, of which 02 had associated venous injury. 18 patients had hard signs and 08 had soft sings of arterial trauma. Popliteral artery injury was found to be the commonest (76.9%), followed by common femoral (15%) and superficial femoral (7.69%). Reverse sephnaous graft was applied in 16 cases and repair with end to end was made in 06 cases and lateral suture in 04 cases. Forteunately rthere was no mortality. Morbidity included infection in 06 cases, gangrene in 02 that ultimately ended in above knee amputation.