Journal of Vascular Surgery
Volume 52, Issue 1 , Pages 91-96 , July 2010

Outcomes of selective tibial artery repair following combat-related extremity injury

Presented as an oral poster at the 23rd Annual Meeting of the Eastern Vascular Society, September 2009, Philadelphia, Pa.

    Capt.
  • Gabriel E. Burkhardt, MD

      Affiliations

    • Department of Surgery, San Antonio Military Medical Consortium, Lackland Air Force Base, San Antonio, Tex
    • University of Texas Health Science Center at San Antonio, San Antonio, Tex
    • , Lt. Col.
  • Mitchell Cox, MD

      Affiliations

    • The Uniformed Services University of the Health Sciences, Bethesda, Md
    • , Lt. Col.
  • W. Darrin Clouse, MD

      Affiliations

    • Department of Surgery, San Antonio Military Medical Consortium, Lackland Air Force Base, San Antonio, Tex
    • University of Texas Health Science Center at San Antonio, San Antonio, Tex
    • ,
  • Chantel Porras, RN, BSN

      Affiliations

    • Department of Surgery, San Antonio Military Medical Consortium, Lackland Air Force Base, San Antonio, Tex
    • , Capt.
  • Shaun M. Gifford, MD

      Affiliations

    • Department of Surgery, San Antonio Military Medical Consortium, Lackland Air Force Base, San Antonio, Tex
    • ,
  • Ken Williams, MSc

      Affiliations

    • Genesis Concepts & Consultants, San Antonio, Tex
    • , Capt.
  • Brandon W. Propper, MD

      Affiliations

    • Department of Surgery, San Antonio Military Medical Consortium, Lackland Air Force Base, San Antonio, Tex
    • , Lt. Col.
  • Todd E. Rasmussen, MD

      Affiliations

    • Department of Surgery, San Antonio Military Medical Consortium, Lackland Air Force Base, San Antonio, Tex
    • The Uniformed Services University of the Health Sciences, Bethesda, Md
    • Corresponding Author InformationReprint requests: Todd E. Rasmussen, MD, FACS, Lieutenant Colonel USAF MC, San Antonio Military Vascular Surgery, Chief, Division of Surgery, Wilford Hall USAF Medical Center, 2200 Bergquist Dr., Ste. 1, Lackland Air Force Base, Texas 78236

Received 3 November 2009 ,Accepted 7 February 2010.

References 

  1. Gawande A. Casualties of war–military care for the wounded from Iraq and Afghanistan. N Engl J Med. 2004;351:2471–2475
  2. Fox CJ, Gillespie DL, O'Donnell SD, Rasmussen TE, Goff JM, Johnson CA, et al. Contemporary management of wartime vascular trauma. J Vasc Surg. 2005;41:638–644
  3. Sohn VY, Arthurs ZM, Herbert GS, Beekley AC, Sebesta JA. Demographics, treatment, and early outcomes in penetrating vascular combat trauma. Arch Surg. 2008;143:783–787
  4. McNutt R, Seabrook GR, Schmitt DD, Aprahamian C, Bandyk DF, Towne JB. Blunt tibial artery trauma: predicting the irretrievable extremity. J Trauma. 1989;29:1624–1627
  5. Ballard JL, Bunt TJ, Malone JM. Management of small artery vascular trauma. Am J Surg. 1992;164:316–319
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  7. Katzman SS, Dickson K. Determining the prognosis for limb salvage in major vascular injuries with associated open tibial fractures. Orthop Rev. 1992;21:195–201
  8. Clouse WD, Rasmussen TE, Peck MA, Eliason JL, Cox MW, Bowser AN, et al. In-theater management of vascular injury: 2 years of the Balad Vascular Registry. J Am Coll Surg. 2007;204:625–632
  9. Mullenix PS, Steele SR, Andersen CA, Starnes BW, Salim A, Martin MJ. Limb salvage and outcomes among patients with traumatic popliteal vascular injury: an analysis of the National Trauma Data Bank. J Vasc Surg. 2006;44:94–100
  10. Moniz MP, Ombrellaro MP, Stevens SL, Freeman MB, Diamond DL, Goldman MH. Concomitant orthopedic and vascular injuries as predictors for limb loss in blunt lower extremity trauma. Am Surg. 1997;63:24–28
  11. Aucar JA, Hirschberg A. Damage control for vascular injuries. Surg Clin N Am. 1997;77:853–862
  12. Gifford SM, Aidinian G, Clouse WD, Fox CJ, Porras CA, Jones WT, et al. Effect of temporary shunting on extremity vascular injury: an outcome analysis from the GWOT vascular injury initiative. J Vasc Surg. 2009;50:549–555
  13. Lavoie A, Moore L, LeSage N, Liberman M, Sampalis JS. The Injury Severity Score or the New Injury Severity Score for predicting intensive care unit admission and hospital length of stay. Injury. 2005;36:447–483
  14. Johansen K, Daines M, Howey T, Helfet D, Hansen ST. Objective criteria accurately predict amputation following lower extremity trauma. J Trauma. 1990;30:568–574
  15. Gustilo RB, Mendoza RM, Willimas DN. Problems in the management of type III severe open fractures: a new classification of type III open fractures. J Trauma. 1984;24:742–746
  16. Lavenson GS, Rich NM, Strandness DE. Ultrasonic flow detector value in combat vascular injuries. Arch Surg. 1971;103:644–647
  17. Fox CJ, Mehta SG, Cox ED, Kragh JF, Salinas J, Holcomb JB. Effect of recombinant factor VIIa as an adjunctive therapy in damage control for wartime vascular injuries: a case control study. J Trauma. 2009;66(4 Suppl):S112–S119
  18. Propper BW, Rasmussen TE, Davidson SB, Vandenberg SL, Clouse WD, Burkhardt GE, et al. Surgical response to multiple casualty incidents following single explosive events. Ann Surg. 2009;250:311–315
  19. MacKenzie EJ, Bosse MJ, Pollak AN, Webb LX, Swiontkowski MF, Kellam JF, et al. Long-term persistence of disability following severe lower-limb trauma. J Bone Joint Surg. 2005;87:1801–1809

 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(10)00312-5

doi: 10.1016/j.jvs.2010.02.017

Journal of Vascular Surgery
Volume 52, Issue 1 , Pages 91-96 , July 2010

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