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FREQUENCY OF FACTORS CONTRIBUTING TO THE LIMB SALVAGE AFTER ARTERIAL RECONSTRUCTION IN TRAUMA PATIENTS

Muhammad Daud Ibrahim, Iqra Saleem, Khalid Mehmood Arif

The treatment of the peripheral arterial injuries may be associated with significant morbidity like amputation. In this study highlights patient related factors which contribute to limb salvage or loss in our population. Objective: To determine the frequency of factors contributing to the limb salvage after arterial reconstruction in trauma patients. Design: Descriptive case series. Setting and duration: Surgical floor of Mayo Hospital, Lahore, two years from 15/9/2016 to 15/9/2018. Methods: In this study included 100 patients of both gender and age more than 12 years with peripheral arterial injuries. Patients were observed for different contributing factors like revascularization in < 6 hours, associated bony injury, venous injury and penetrating trauma. Treatment options included primary repair, end to end anastomosis and reverse venous grafting. Results: Duration of revascularization < 6 hours was seen in 65 (65%) patients, penetrating injury in 82 (82%) patients, associated bony injury in 31 (31%) and associated venous injury in 42 (42%) patients. Primary repair was done in 27 (27%) patients, end to end anastomosis in 42 (42%) patient and reverse venous graft in 31 (31%) patients. Conclusion: It is concluded that penetrating injury was the most common contributing factor preceding revascularization < 6 hours. Keywords: Peripheral arterial injury, arterial reconstruction, patient factors, limb salvage.

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