Types of combined neurovascular injuries of the extremities

Authors

  • I. V. Pertsov

DOI:

https://doi.org/10.14739/2310-1237.2014.2.28600

Keywords:

Vascular Injury, Nerve Injury, Angiosome, Flowmetry, Regional Blood Flow

Abstract

Combined injuries of neurovascular structures are associated with poor results of limb function restoration, often lead to disability and lower quality of life.

Aim. To determine the features of regional blood flow of the extremities in patients with combined neurovascular structures injury.

Methods and results. In 98 patients indicators of limb microcirculation and tissue perfusion were established using laser Doppler. In nerve autonomous zone an increase of neurogenic tone (NT) ≥50% and a significant decrease in microcirculation (PM) ≤ 60% were registered as compared with contralateral limb.

Conclusion. 3 types of damage are pointed out, knowledge of which selects the pathogenetic types of interventions and influences treatment strategy and results of restoration of limb function significantly.

References

Aslanov, A. D., Kudryavcev, B. P., Mizaushev, B. A., Logvina, O. E., Ojtov, T. Kh. (2006). Organizacionno-diagnosticheskie i lechebnye meropriatia na dogospital'nom e`tape soprovozhdeniya postradavshikh s sochetannymi travmami pri povrezhdeniakh konechnostej [Organizational diagnostic and therapeutic measures in the prehospital support patients with concomitant injuries with injuries of extremities]. Medicina katastrof, 3, 13–17. [in Russian].

Serov, A. M. (2004). Sochetannye povrezhdenia arterii, nervov i sukhozhilij predplech'ya [Combined injuries of the arteries, nerves and tendons of the forearm]. Vestnik khirurgii, 1, 115–119. [in Russian].

Tsymbaliuk, V. І., Tretiak, І. B., & Tsymbaliuk, Yu. V. (2013). Hіrurgіchne lіkuvannia ushkodzhennia plechovogo spletennia z vykorystanniam dovgotryvaloi elektrostymuliatsіi [Surgical treatment of brachial plexus injuries using long-term electrical stimulation]. Klіnіchna khіrurgіia, 6, 59–61. [in Ukrainian].

Shtofin, A. S., Kozlov, A. V., & Arshakyan, V. M. (2009) Khirurgicheskaya taktika korrekcii funkcional'nykh i troficheskikh narusheniy u bol'nykh s povrezhdeniyami nervov [Surgical tactics correction of functional and trophic disorders in patients with nerve damage]. Polenovskiye chteniya. Abstracts of Papers of the All-Russian Scientific and Practical Conference. Sain Petrsburgs, (pp. 186–187). [in Russian].

Bosanquet, D. C., Glasbey, J. C. D., Williams, I. M., & Twine, C. P. (2014). Systematic Review and Meta-analysis of Direct Versus Indirect Angiosomsl Revascularisation of Infrapopliteal Arteries. Eur.J.Vasc. Endovasc. Surg., 48, 88–97. doi: 10.1016/j.ejvs.2014.04.002.

Glass, G. E., Pearse, M. F., & Manchacha, J.(2009). Improving lower limb salvage following fractures with vascular injury: a systematic rewiev and new management algorithm. J.Plast. Reconstr. Aesthet. Surg, 62, 571–579. doi: 10.1016/j.bjps.2008.11.117.

Moran, Steven L., Cooney, William P. (2009). Master Techniques in Orthopaedic Surgery. Soft Tissue Surgery, 1, 17–36.

Taylor, G. I., & Palmer, J. H. (1987). The vascular territories (angoisomes) of the body: experimental study and clinical applications. Br.J. Plast. Surgery, 40, 599–616. doi: 10.1016/0007-1226(87)90185-8.

Prichayudh, S., Verananvattna, A., Sriussadaporn, S., Sriussadaporn, S., Kritayakirana K., & Pak-art R. (2009). Management of upper extremity vascular injury: outcome related to the mangled extremity severity score. World J Surg, 33, 857–863. doi: 10.1007/s00268-008-9902-4.

How to Cite

1.
Pertsov IV. Types of combined neurovascular injuries of the extremities. Pathologia [Internet]. 2014Oct.1 [cited 2024Nov.23];(2). Available from: http://pat.zsmu.edu.ua/article/view/28600

Issue

Section

Original research