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  • Title: The management of combined skeletal and arterial injuries of the lower extremity.
    Author: Gates JD.
    Journal: Am J Orthop (Belle Mead NJ); 1995 Sep; 24(9):674-80. PubMed ID: 8548262.
    Abstract:
    Combined skeletal, soft-tissue, and arterial injuries in lower extremity trauma are relatively common. Controversy has surrounded the priority of management of these limb- and life-threatening injuries. There are proponents for initial skeletal stabilization, and an equal number in favor of initial revascularization. The management of a multiply-traumatized patient with an ischemic limb and other life-threatening injuries, and a literature review, are presented to examine some of the issues and describe the use of vascular shunts as a method for rapid temporary revascularization of a damaged limb.
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