Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1366
8
1
gregorian
1987
11
1
1
1
online
1
fulltext
en
LATE ARTERIAL REPAIR FOR LOWER LIMB OR KNEE SALVAGE
Surgery
Surgery
Original Research
Original Research
The objective of this report is to prove that even after development of
ischemic necrosis of the muscles and nerves, we can still save the extremity
or the knee and even several days after arterial injury, perform arterial
repair and other mentioned procedures. Thus we can retain a functionally
satisfactory leg or knee joint, which is far better than classic above-knee
amputation and utilization of an artificial leg.
28 cases have been chosen in this series, and arterial repair was
performed 24 to 72 hours after arterial injury. The arterial injuries were at
or above knee level, all the muscles of the leg were found to be necrotic at
the time of arrival, and the leg was senseless below the knee or mid-shin.
23 cases underwent leg salvage, and in five who had fractured tibia or
necrosis of the skin of the sole or around the ankle, mid-shaft amputation
with knee salvage was performed, rather than above-knee amputation.
Only three unsuccessful results were encountered, which the authors feel
were due to improper case selection, and one mortality was reported, due
to pulmonary embolism.
The comparative results were far better than above-knee amputation,
both in below-knee amputation and leg salvage, and the patients did not
consider themelves disabled either physically or mentally. With proper
care, the patients were able to lead completely normal lives with no job
opportunity limitations. The authors conclude that even several days after
arterial injury and despite ischemic necrosis of muscles and nerves, lower
limb or knee salvage is still possible, and classic "a-k"amputation is not
the only alternative.
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http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-535&slc_lang=en&sid=1
MOHAMMADREZA
KALANTAR MOTAMEDI
20031947532846005719
20031947532846005719
Yes
From the Department of Surgery, Shohada Medical Center, Sizahid Beheshti University of Medical Sciences,
MOHAM MAD HASSAN
KALANTAR MOTAMEDI
20031947532846005720
20031947532846005720
No
SEYYED AHMAMAD
HASSANTASH
20031947532846005721
20031947532846005721
No