Title: Salvaging a Crush Avulsed Ischemic Upper Limb with Complete Radial and Ulnar Artery Transection at a Peripheral Medical Setup: Case Report
Author: Dr. A. P. Chitragupta MD
DOI: https://dx.doi.org/10.18535/jmscr/v5i1.08
Abstract
With expanding means of transportation, and increase in outdoor and adventure motorsports activities, there has been a surge in the number of road traffic accidents and associated fatalities. The associated mortality and loss of appendages are emerging as a major public health concerns. Recent advances in surgical repair procedures and reconstruction techniques have facilitated more and more life and limb salvaging surgeries. The Mangled Extremity Severity Score (MESS) remains the most used scoring system; however it has not been validated for mangled injuries of upper extremities. Performing a temporary intravascular shunting in an attempt to salvage a precious upper limb, at a peripherally located medical setup is challenging. We present a case of severely injured left upper forearm with associated ischemia due to severed radial and ulnar artery, successfully salvaged at a sub optimally equipped peripherally located medical setup in highly uncongenial terrains of north east part of India.
Keywords: Road Traffic Accidents, MESS, Upper Extremities, Limb Salvage, Temporary Intra vascular shunting, uncongenial terrain.
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