@article{ref1,
title="Determinates of functional disability after complex upper extremity trauma",
journal="Annals of vascular surgery",
year="2001",
author="Brown, K. R. and Jean-Claude, J. and Seabrook, G. R. and Towne, J. B. and Cambria, R. A.",
volume="15",
number="1",
pages="43-48",
abstract="This is a retrospective chart review of 71 patients who were operated on for presumed upper extremity arterial trauma between June 1992 and June 1998. Penetrating trauma occurred in 50 (70%) patients, and blunt trauma in 21 (30%). There were 2 innominate, 6 subclavian, 13 axillary, 26 brachial, 5 radial, 6 ulnar, and 6 multiple arterial injuries. There were 7 negative explorations (4 venous injuries, 2 false-positive angiograms, and 1 branch artery injury). In addition to the vascular injury, 44 patients (69%) had another injury in the extremity, including 8 (12.5%) orthopedic injuries, 12 (19%) nerve injuries, and 24 (37.5%) combination nerve and orthopedic injuries. There were three arterial thromboses, one arterial disruption, and four amputations, resulting in a patency rate and limb salvage rate of 94%. Persistent disability was more common in those patients with blunt injury (p = 0.02) and in those patients with associated neurologic and orthopedic injuries (p < 0.05). Full functional recovery was seen in 21 (33%) patients, while some form of disability was noted in the remaining 67%. The magnitude of the concomitant neurologic injury was the major determinate of functional outcome in this patient population.<p /><p>Language: en</p>",
language="en",
issn="0890-5096",
doi="10.1007/s100160010016",
url="http://dx.doi.org/10.1007/s100160010016"
}