Online ISSN: 2515-8260

Keywords : extremity trauma

Study of lower limb musculoskeletal trauma and its associated vascular injuries

Dr. Vineet Singh Kuntal, Dr. Amit, Dr. Durga Ram, Dr. RC Bansiwal, Dr. Anurag Bhakhar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 9666-9672

The aim of this study was to study lower limb musculoskeletal trauma and associated vascular injury in SMS Hospital Jaipur in India in terms of epidemiology and patient outcome.
Methods: This was a single center cross sectional descriptive observational study conducted at SMS Hospital Jaipur in India and for the study purpose 100 cases of lower limb injury was taken.
Results: The Age group between 11 years to 65 years was included in the study. Most common involved population between 31 to 50 years (49%) then comes 51 to 60 years (19%). There were 91 males and 9 females in study. Most common cause of lower limb musculoskeletal trauma with vascular injuries is road traffic accidents accounts for 87% of all injuries. Popliteal artery is most common injured vessel 59 cases total out of which 46 (78%) were amputated and 13 (22%) were salvaged. P value is significant. Popliteal artery injuries have higher chances of amputation. Total cases of Ant tibial artery injuries are 7 out of which 5 (71.4%) were amputated and 2 (28.6%) were salvaged.
Conclusion: Popliteal artery is the most commonly injured vessel, but the prognosis is much better in femoral artery injuries. Open fractures had worse morbidity and mortality outcomes. Patients presenting in the first 12 h after injury had a better limb salvageability rate. Motor vehicle safety and prevention programs targeting young males are most likely to have a greatest effect on vascular injury rate, and the results of this study may be used for preventive strategic planning of these injuries.