ArticleBMC musculoskeletal disorders2018
Clinical implications of fracture-associated vascular damage in extremity and pelvic trauma.
Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed.
- Article
- Management of Suspected Peripheral Vascular Injuries in Orthopedic Trauma.Orthopaedic surgery · 2024Article
- The pelvic vascular injury score (P-VIS): a prehospital instrument to detect significant vascular injury in pelvic fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- High Dependency Unit Admissions among Patients with Lower Extremity Long Bone Fracture Visiting the Department of Orthopaedics in a Tertiary Care Centre.JNMA; journal of the Nepal Medical Association · 2024Article
- Rare finding of axillary artery dissection secondary to a proximal humerus fracture-dislocation: A case report.Trauma case reports · 2023Article
- Damage Control Surgery after Burn Injury: A Narrative Review.European burn journal · 2022Review
- Endovascular management of pelvic trauma.Annals of translational medicine · 2021Review
- Effects of emergency treatment mode of damage-control orthopedics in pelvic fracture complicated with multiple fractures.American journal of translational research · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVascular damage in polytrauma patients is associated with high mortality and morbidity. Therefore, specific clinical implications of vascular damage with fractures in major trauma patients are reassessed.
methodsThis comprehensive nine-year retrospective single center cohort study analyzed demography, laboratory, treatment and outcome data from 3689 patients, 64 patients with fracture-associated vascular injuries were identified and were compared to a control group.
resultsVascular damage occurred in 7% of patients with upper and lower limb and pelvic fractures admitted to the trauma room. Overall survival was 80% in pelvic fracture and 97% in extremity fracture patients and comparable to non-vascular trauma patients. Additional arterial damage required substantial fluid administration and was visible as significantly anemia and disturbed coagulation tests upon admission. Open procedures were done in over 80% of peripheral extremity vascular damage. Endovascular procedures were predominant (87%) in pelvic injury.
conclusionVascular damage is associated with high mortality rates especially in combination with pelvic fractures. Initial anemia, disturbed coagulation tests and the need for extensive pre-clinical fluid substitution were observed in the cohort with vascular damage. Therefore, fast diagnosis and early interventional and surgical procedures are necessary to optimize patient-specific outcome.
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