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  • Title: [Vascular traumatisms of the limbs in children. Report of 94 cases].
    Author: Debeugny P, Canarelli JP, Bonnevalle M, Lapasse L, Luck H, Huillet P, Boboyono L.
    Journal: Chir Pediatr; 1990; 31(4-5):207-16. PubMed ID: 2083454.
    Abstract:
    Ninety-four cases of limb vascular traumas were observed in children during a 25 year-period. Treatment was done less than 12 hours after the injury in 83 cases, later than 24 hours in 7 cases. Superior limbs were more often concerned than inferior limbs: 65 vs 29 cases. Bone lesions were found in 34% of cases, articular lesion in 12% and neurological lesions in 40%. Vascular repair was necessary in 63 cases, mostly by suture (41 cases) or venous graft (16 cases). Two patients died because of associated polytrauma. In 8 cases, anatomical and functional results are good, but follow-up is short. In 65 cases, results were initially satisfactory; 5 patients had later complications leading to sequelae in 3 cases. In 19 cases complications occurred and led to amputation in 5 cases; among the remaining 14 patients, results were finally satisfactory in 9 cases and sequelae were observed in 4 cases. Early diagnosis problems and treatment are discussed. Associated lesions have to be taken into account to assess the results.
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