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Combined vascular and orthopaedic injuries 

Combined vascular and orthopaedic injuries
Chapter:
Combined vascular and orthopaedic injuries
Author(s):

E. Chaloner

DOI:
10.1093/med/9780199550647.003.012009
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date: 13 December 2019

Early diagnosis of an arterial injury is critical in reducing the risk of limb loss

Don’t assume that missing pulses are due to arterial ‘spasm’

Don’t assume that presence of distal pulses rules out a proximal vascular injury – arterial intimal tears can occlude the vessel many hours after the initial injury

After an arterial repair has been completed there is still a risk of subsequent compartment syndrome from reperfusion

Arterial shunts can procure some time for skeletal fixation prior to definitive arterial repair or grafting.

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