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  • Title: Open tibial fractures with associated vascular injuries: prognosis for limb salvage.
    Author: Lange RH, Bach AW, Hansen ST, Johansen KH.
    Journal: J Trauma; 1985 Mar; 25(3):203-8. PubMed ID: 3981670.
    Abstract:
    Open tibial fractures complicated by limb-threatening vascular injuries present an infrequent but difficult management problem. Twenty-three cases were reviewed with an ultimate amputation rate of 61% (22% primary, 39% delayed). Crush injuries, segmental tibial fractures, and revascularization delays of greater than 6 hours were associated with a bad outcome. Guidelines for primary amputation (crushing injuries, delay in revascularization, segmental tibial fractures) are proposed and implications of limb salvage are reviewed.
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