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Update in combined musculoskeletal and vascular injuries of the extremities

World Journal of Orthopedics 2022年第5期13卷 411-426页

作者： Nikolaos Stefanou Christina Arnaoutoglou Fotios Papageorgiou Miltiadis Matsagkas Sokratis E Varitimidis Zoe H Dailiana Department of Orthopaedic Surgery Faculty of MedicineSchool of Health SciencesUniversity of ThessalyLarissa 41500Greece Department of Vascular Surgery Faculty of MedicineSchool of Health SciencesUniversity of ThessalyLarissa 41500Greece Department of Hand Upper Extremity and MicrosurgeryIASO ThessaliasLarissa 41500Greece

combined musculoskeletal and vascular injuries of the extremities are conditions in which a multidisciplinary approach is a sine qua non to ensure life initially and limb viability *** injuries as part of musculoskeletal trauma are usually the result of the release of a high energy load in the wound site so that the prognosis is determined by the degree of soft-tissue damage,duration of limb ischemia,patient’s medical status and presence of associated *** management of these injuries is challenging and requires a specific algorithm of action,because they are usually characterized by increased morbidity,amputation rate,infection,neurological and functional deficits,and they could be life *** vascular injuries are rare and occur either isolated or in the context of major combined musculoskeletal trauma,the high index of suspicion,imaging control,and timely referral of the patient to organized trauma centers ensure the best functional outcome of the extremity in such challenging *** after a successful initial treatment of a combined trauma pattern,long-term follow-up is crucial to prevent and detect early possible *** purpose of this manuscript is to provide an update on diagnosis and treatment of combined musculoskeletal and vascular injuries of the extremities,from an orthopedic point of view.

关键词： Vascular injury Musculoskeletal trauma combined injury Arterial injury Mangled extremity Limb salvage

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