Treatment of limb XXXX caused by traffic accidents.

@entity1 @entity174 @entity63 @entity254 @entity1317 @entity715 @entity130 @entity3029
OBJECTIVE: To analyze the features, diagnosis and treatment of limb @entity1317 caused by traffic accidents. METHODS: A total of 43 @entity1 with limb @entity1317 admitted in our department over the past 30 years (about 50% of them happened during the last 10 years) were analyzed retrospectively in this article. The popliteal, femoral and brachial arteries were mainly involved, accounting for 43.2%, 20.5% and 20.5% respectively of all the involvements. There were 35 cases of open injury and 9 of @entity130 . The involved vessels were transected in 43.2% of the cases and contused in 40.9%. All the @entity1 had various complications, such as @entity174 , @entity3029 and severe soft tissue injuries. The injured vessels were repaired by means of end-to-end @entity254 in 10 cases, autogenous vein graft in 23 cases and intraluminal hydraulic dilatation in 4 cases. RESULTS: Successful limb salvage was achieved in 34 cases initially, whereas 10 amputations were carried out due to injuries to popliteal arteries in 7, femoral arteries in 2 and humeral artery in 1 and severe soft tissue damages in 9 cases. Twenty-nine @entity1 were followed up for 1-156 months, with the average of 48.8 months. There was good circulation in 22 cases and certain @entity63 in 5 cases. Two amputations were carried out in the late stage because of popliteal artery @entity715 after repair in 2 cases. There was no death in this series. CONCLUSIONS: The limb @entity1317 caused by traffic accidents are severe and complicated. It is proposed that particular attentions should be paid to the features in diagnosis and treatment for this @entity130 and special efforts should be made for both life saving and limb salvage.
