Delayed presentation of brachial artery injury following fracture shaft humerus; whether amputate or salvage: A series of two cases
Vascular injury is a complication after humerus fracture that has been associated with shoulder dislocation, fracture proximal, and supracondylar region of the humerus. Combined vascular and bony injuries are diagnosed and referred earlier than 24 h. However, delayed presentation of brachial artery...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Journal of Orthopedics, Traumatology and Rehabilitation |
| Subjects: | |
| Online Access: | http://www.jotr.in/article.asp?issn=0975-7341;year=2018;volume=10;issue=2;spage=137;epage=141;aulast=Sharma |
| _version_ | 1818265197192675328 |
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| author | Bhanu Sharma Sibashish Metia Kavish Kapoor Pankaj Poswal |
| author_facet | Bhanu Sharma Sibashish Metia Kavish Kapoor Pankaj Poswal |
| author_sort | Bhanu Sharma |
| collection | DOAJ |
| description | Vascular injury is a complication after humerus fracture that has been associated with shoulder dislocation, fracture proximal, and supracondylar region of the humerus. Combined vascular and bony injuries are diagnosed and referred earlier than 24 h. However, delayed presentation of brachial artery injury after shaft humerus fracture beyond the golden period of 6 h has been little reported. In this series, we aimed at evaluating the likelihood of limb salvage. Case 1, was 24 years old with open fracture that presented after 18 h, managed with fasciotomy with arteriotomy with thrombectomy followed by temporary skeletal stabilization and definitive thereafter. Case 2, was 39 year old with closed fracture, presented after 76 h with digital gangrene in which definitive fracture fixation was first done followed by transbrachial thrombectomy with amputation of digits. Our results were good with minimal morbidity due to joint stiffness, restriction of range of motion, and complications of ischemia. |
| first_indexed | 2024-12-12T19:46:58Z |
| format | Article |
| id | doaj.art-6bc54fb7c6f945438d5ee2a44316aac3 |
| institution | Directory Open Access Journal |
| issn | 0975-7341 |
| language | English |
| last_indexed | 2024-12-12T19:46:58Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Orthopedics, Traumatology and Rehabilitation |
| spelling | doaj.art-6bc54fb7c6f945438d5ee2a44316aac32022-12-22T00:14:03ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412018-01-0110213714110.4103/jotr.jotr_22_18Delayed presentation of brachial artery injury following fracture shaft humerus; whether amputate or salvage: A series of two casesBhanu SharmaSibashish MetiaKavish KapoorPankaj PoswalVascular injury is a complication after humerus fracture that has been associated with shoulder dislocation, fracture proximal, and supracondylar region of the humerus. Combined vascular and bony injuries are diagnosed and referred earlier than 24 h. However, delayed presentation of brachial artery injury after shaft humerus fracture beyond the golden period of 6 h has been little reported. In this series, we aimed at evaluating the likelihood of limb salvage. Case 1, was 24 years old with open fracture that presented after 18 h, managed with fasciotomy with arteriotomy with thrombectomy followed by temporary skeletal stabilization and definitive thereafter. Case 2, was 39 year old with closed fracture, presented after 76 h with digital gangrene in which definitive fracture fixation was first done followed by transbrachial thrombectomy with amputation of digits. Our results were good with minimal morbidity due to joint stiffness, restriction of range of motion, and complications of ischemia.http://www.jotr.in/article.asp?issn=0975-7341;year=2018;volume=10;issue=2;spage=137;epage=141;aulast=Sharmabrachial artery injurydelayed presentationshaft humerus fractureupper extremity salvage |
| spellingShingle | Bhanu Sharma Sibashish Metia Kavish Kapoor Pankaj Poswal Delayed presentation of brachial artery injury following fracture shaft humerus; whether amputate or salvage: A series of two cases Journal of Orthopedics, Traumatology and Rehabilitation brachial artery injury delayed presentation shaft humerus fracture upper extremity salvage |
| title | Delayed presentation of brachial artery injury following fracture shaft humerus; whether amputate or salvage: A series of two cases |
| title_full | Delayed presentation of brachial artery injury following fracture shaft humerus; whether amputate or salvage: A series of two cases |
| title_fullStr | Delayed presentation of brachial artery injury following fracture shaft humerus; whether amputate or salvage: A series of two cases |
| title_full_unstemmed | Delayed presentation of brachial artery injury following fracture shaft humerus; whether amputate or salvage: A series of two cases |
| title_short | Delayed presentation of brachial artery injury following fracture shaft humerus; whether amputate or salvage: A series of two cases |
| title_sort | delayed presentation of brachial artery injury following fracture shaft humerus whether amputate or salvage a series of two cases |
| topic | brachial artery injury delayed presentation shaft humerus fracture upper extremity salvage |
| url | http://www.jotr.in/article.asp?issn=0975-7341;year=2018;volume=10;issue=2;spage=137;epage=141;aulast=Sharma |
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