Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2017 / Cilt: 23 - Sayı: 2

Evaluation of forearm arterial repairs: Functional outcomes related to arterial repair

Pages
117–121
DOI
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Patients evaluated with CDUS were divided into 2 groups according to results: patent vessels (Group 1) and obliterated vessels (Group 2), and statistical analysis was performed to compare QuickDASH scores of groups.RESULTS: Difference in QuickDASH scores was statistically significant: Group 1 had lower score (24.27) than Group 2 (36.34), indicating better outcome in patients with patent vessels.CONCLUSION: Vascular repair that achieved vessel patency led to better functional outcome with lower QuickDASH score and less cold intolerance

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Objective & Hypothesis:BACKGROUND: There are few studies of single forearm arterial injury repair that compare long-term results of intact and obliterated forearm arterial repair.
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Key Findings & Data:Aim of the present study was to compare long-term results of forearm arterial repair using Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score and color Doppler ultrasound (CDUS).METHODS: Records of 166 consecutive patients with forearm arterial injury were reviewed, and 30 patients with same injury (ulnar artery, ulnar nerve, and tendon injuries at flexor zone V) were called back for CDUS and QuickDASH scoring.
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Conclusion & Impact:Patients evaluated with CDUS were divided into 2 groups according to results: patent vessels (Group 1) and obliterated vessels (Group 2), and statistical analysis was performed to compare QuickDASH scores of groups.RESULTS: Difference in QuickDASH scores was statistically significant: Group 1 had lower score (24.27) than Group 2 (36.34), indicating better outcome in patients with patent vessels.CONCLUSION: Vascular repair that achieved vessel patency led to better functional outcome with lower QuickDASH score and less cold intolerance
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: There are few studies of single forearm arterial injury repair that compare long-term results of intact and obliterated forearm arterial repair. Aim of the present study was to compare long-term results of forearm arterial repair using Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score and color Doppler ultrasound (CDUS).METHODS: Records of 166 consecutive patients with forearm arterial injury were reviewed, and 30 patients with same injury (ulnar artery, ulnar nerve, and tendon injuries at flexor zone V) were called back for CDUS and QuickDASH scoring. Patients evaluated with CDUS were divided into 2 groups according to results: patent vessels (Group 1) and obliterated vessels (Group 2), and statistical analysis was performed to compare QuickDASH scores of groups.RESULTS: Difference in QuickDASH scores was statistically significant: Group 1 had lower score (24.27) than Group 2 (36.34), indicating better outcome in patients with patent vessels.CONCLUSION: Vascular repair that achieved vessel patency led to better functional outcome with lower QuickDASH score and less cold intolerance

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Cite This Article

KELEŞ, M. K., ŞİMŞEK, T., POLAT, A. V., YOSMA, E., DEMİR, A. (2017). Evaluation of forearm arterial repairs: Functional outcomes related to arterial repair. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 23 - Sayı: 2, 117–121. https://ajindex.com/articles/323706

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References (17)

  1. Ballard JL, Bunt TJ, Malone JM. Management of small artery vascular trauma. Am J Surg 1992;164:316–9
  2. Noaman HH. Management and functional outcomes of combined injuries of flexor tendons, nerves, and vessels at the wrist. Microsurgery 2007;27:536–43
  3. Lee RE, Obeid FN, Horst HM, Bivins BA. Acute penetrating arterial injuries of the forearm. Ligation or repair? Am Surg 1985;51:318–24
  4. Johnson M, Ford M, Johansen K. Radial or ulnar artery laceration. Repair or ligate? Arch Surg 1993;128:971–5
  5. Prichayudh S, Verananvattna A, Sriussadaporn S, Sriussadaporn S, Kritayakirana K, Pak-art R, et al. Management of upper extremity vascular injury: outcome related to the Mangled Extremity Severity Score. World J Surg 2009;33:857–63
  6. Wali MA. Upper limb vascular trauma in the Asir region of Saudi Arabia. Ann Thorac Cardiovasc Surg 2002;8:298–301
  7. Feliciano DV, Mattox KL, Graham JM, Bitondo CG. Five-year experience with PTFE grafts in vascular wounds. J Trauma 1985;25:71–82
  8. Rich NM, Hughes CW. The fate of prosthetic material used to repair vascular injuries in contaminated wounds. J Trauma 1972;12:459–67
  9. McCready RA. Upper-extremity vascular injuries. Surg Clin North Am 1988;68:725–40
  10. Rothkopf DM, Chu B, Gonzalez F, Borah G, Ashmead D 4th, Dunn R. Radial and ulnar artery repairs: assessing patency rates with color Doppler ultrasonographic imaging. J Hand Surg Am 1993;18:626–8
  11. Boswick J. Injuries of the radial and ulnar arteries. In Proceedings of the American Society for Surgery of the Hand. J Bone Joint Surg 1967;49:582
  12. Stricker SJ, Burkhalter WE, Ouellette AE. Single-vessel forearm arterial repairs. Patency rates using nuclear angiography. Orthopedics 1989;12:963–5
  13. Sitzmann JV, Ernst CB. Management of arm arterial injuries. Surgery 1984;96:895–901
  14. Hunt CA, Kingsley JR. Vascular injuries of the upper extremity. South Med J 2000;93:466–8
  15. Bassetto F, Zucchetto M, Vindigni V, Scomparin MA, Corbetti F, Perissinotto E, et al. Traumatic musculoskeletal changes in forearm and hand after emergency vascular anastomosis or ligation. J Reconstr Microsurg 2010;26:441–7
  16. Leclercq DC, Carlier AJ, Khuc T, Depierreux L, Lejeune GN. Improvement in the results in sixty-four ulnar nerve sections associated with arterial repair. J Hand Surg Am 1985;10:997–9
  17. Kleinman WB, O’Connell SJ. Effects of the fasciocutaneous radial forearm flap on vascularity of the hand. J Hand Surg Am 1993;18:953–8.