12 January 2021>: Clinical Research
Limb-Salvage Outcomes of Arterial Repair Beyond Time Limit at Different Lower-Extremity Injury SitesLi Yu ABCDEF* , Linglong Deng ABCDEF* , Shaobo Zhu BCD , Kai Deng BCD , Guorong Yu BCD , Chunquan Zhu BCD , Baiwen Qi ABCDEF* , Zhenyu Pan ABCDEF**
Med Sci Monit 2021; 27:e927652
Figure 3 A typical example of delayed repair of EIAI (27 h): A 10-year-old boy sustained a car accident, open pelvic fracture, and extensive avulsion of the abdomen and right thigh. After local hospital debridement, the patient was transferred to our hospital. As a result of intractable hypotension, exploratory surgery was immediately prepared. We found a rupture in the right external iliac artery, and then revascularized the damaged artery using a saphenous vein graft (SVG). After 1 week of dialysis, 4 debridements, and a skin graft, his life and lower limbs were saved. At the 10th year of follow-up, there were many scars in his inguinal region and right thigh (A). His motor function was severely impaired, including a maximum knee flexion of 80 degrees (B) and a clubfoot deformity (C). Achilles tendon release surgery and subtalar-talonavicular joint fusion were performed to correct the deformities (D).