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    Management of fracture and dislocation associated with vascular injuries
    (Anatolian Journal of Clinical Investigation, 2014) Kömürcü, Erkam; Özden, Raif; Kaymaz, Burak; Gölge, Umut Hatay; Göksel, Ferdi; Özcan, Sedat; Yener, Ali Ümit
    The purpose of this study is to identify the factors that affect mortality and morbidity and that contribute to disability in vascular injuries associated with fracture and dislocation. Ninety-seven patients with vascular injuries associated with orthopedic fracture and dislocation in the study by searching hospital files retrospectively.Sixtytwo and thirty-five patients were male and female, respectively. Mean age of the patients was 36.6±12.1 years. The time elapsed between injury and surgical intervention was 3.6±1.9 hours. Tibia, femur and humerus fractures were the most encountered injuries with MESS value of 6.2±2. 2. External fixation and internal fixation osteosynthesis were used in 76 and 12 patients respectively. Vascular injuries were localized most frequently in femoral artery, popliteal artery. Preoperative arteriography was performed in 22 patients. 41 patients had isolated arterial injuries, 54 patients both artery and vein injuries. Priority was given to vascular repair in 68 patients; orthopedic stabilization was performed before the vascular treatment only in 22 patients. Only 4 patients lost their life in the postoperative period. Vascular injuries associated with fracture and dislocation, are major pathologies that must be diagnosed without delay and repaired urgently. There are still disputed issues in the algorithm of the treatment of these injuries and prospective studies are needed with wide patient series. © 2014, Anatol J Clin Investig. All rights received.