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Lower limb vascular trauma: aetiology, pathogenesis, classification, management, guidelines, outcomes 

Lower limb vascular trauma: aetiology, pathogenesis, classification, management, guidelines, outcomes
Chapter:
Lower limb vascular trauma: aetiology, pathogenesis, classification, management, guidelines, outcomes
Author(s):

J. Devin B. Watson

and Todd E. Rasmussen

DOI:
10.1093/med/9780199658220.003.0022
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date: 18 October 2019

When considering the epidemiology of lower extremity vascular trauma, blunt and penetrating mechanisms, as well as the setting in which the injury occurs should be included. The focus of this chapter will be non-iatrogenic lower extremity vascular trauma, including civilian and military perspectives, and guidelines to aid in assessment and treatment. Recent studies indicate that vascular injury comprises between 3 and 4% of trauma admissions to UK regional trauma centres. Thirty-eight per cent of civilian trauma admissions are noted to have involvement of the extremities with the upper limb more commonly affected than the lower. Lower extremity vascular injuries are associated with higher mortality and perioperative complication rates when compared to upper extremity vascular injuries. Civilian studies indicate that penetrating and blunt mechanisms are nearly equally common with blunt mechanisms responsible for 56% of injuries. In the civilian setting, blunt injuries are associated with poorer functional outcomes and higher amputation rates.

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