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Table 2 Diagnostics and surgical treatment of vascular injuries

From: Traumatic extremity arterial injury in children: Epidemiology, diagnostics, treatment and prognostic value of Mangled Extremity Severity Score

 

Total

Penetrating

Isolated severe

Multiple

Supracondylar

  

injuries

extremity trauma

trauma

fractures

Number of participants

44

14 (31.8%)

13 (29.6%)

11 (25%)

6 (13.6%)

Male:female

35:9

12:2

11:2

9:2

3:3

Age (years)

9.0 ± 3.2

9.9 ± 2.5

7.9 ± 3.7

9.0 ± 3.2

8.0 ± 3.0

MESS

5.0 ± 2.5

3.5 ± 2.0

5.5 ± 2.3

7.0 ± 2.4

3.7 ± 1.6

Diagostics:

     

Clinical examination/

emergency surgery

28 (63.6%)

11 (78.6%)

8 (61.5%)

3 (27.3%)

6 (100%)

   Angiography

9 (20.5%)

0 (0%)

4 (30.8%)

5 (45.4%)

0 (0%)

   Doppler Scan

5 (11.4%)

2 (14.3%)

1 (7.7%)

2 (18.2%)

0 (0%)

   Both

2 (4.5%)

1 (7.1%)

0 (0%)

1 (9.1%)

0 (0%)

Surgical Treatment:

     

   Primary repair/interposition graft/patch

30 (68.2%)

12 (85.7%)

7 (53.8%)

9 (81.8%)

2 (33.3%)

   Vascular Ligation

3 (6.8%)

2 (14.3%)

1 (7.7%)

0 (0%)

0 (0%)

   Vascular Bypass

1 (2.3%)

0 (0%)

1 (7.7%)

0 (0%)

0 (0%)

   Primary Amputation

3 (6.8%)

0 (0%)

2 (15.4%)

1 (9.1%)

0 (0%)

Fracture reduction

(no specific vascular surgery)

7 (15.9%)

0 (0%)

2 (15.4%)

1 (9.1%)

4 (66.7%)

Limb salvage (initial)

41 (93.2%)

14 (100%)

11 (84.6%)

10 (83.3%)

6 (100%)

Limb salvage (definite)

36 (81.8%)

13 (92.9%)

9 (69.2%)

8 (72.2%)

6 (100%)