ARTERIAL COMBAT INJURIES OF THE UPPER EXTREMITY

  • 1 January 1980
    • journal article
    • research article
    • Vol. 20  (4) , 297-302
Abstract
The results of treatment of 101 [human] combat injuries of the upper extremities are reported. There were 84 acute injuries and 17 late complications. There was a high incidence of associated fractures (35%) and nerve lesions (51%). Over half the injuries were repaired by saphenous vein graft replacement. There were 7 early amputations related to a long delay before treatment, extensive tissue damage and sepsis with delayed hemorrhage. There were no late amputations, but residual neurologic damage gave a less than perfect result in 32 extremities. Two injuries resulted in Volkmann''s contracture. Factors specific to the management of upper-extremity arterial injuries are outlined.

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