Abstract

HOHENBERGER, GM et al. Significant differences in functional outcome between upper and lower limbs after vascular trauma of the extremities. S. Afr. j. surg. [online]. 2023, vol.61, n.1, pp.18-25. ISSN 2078-5151.  http://dx.doi.org/10.36303/SAJS.3890.

BACKGROUND: This study aimed to compare the functional results between upper (UE) and lower extremity (LE) following arterial reconstruction due to vascular trauma METHODS: Patients treated for arterial injuries with vascular reconstruction at two centres between 2005 and 2014 were assessed. The physical fitness questionnaire - Fitnessfragebogen (FFB-Mot) - was evaluated. The differences between pre- and post-traumatic values were compared statistically for UE and LE. Inability to return to the preoperative workplace or postoperative loss of at least 10% of the FFB-Mot were defined as the primary outcome events RESULTS: Twenty-seven patients could be re-evaluated. The primary outcome event occurred in 52% (14/27) without significant difference between UE (43%) and LE (62%) (p = 0.45). The difference between the pre- and post-traumatic FFB-Mot scores showed a significantly poorer functional outcome after LE vascular injury (p = 0.012 CONCLUSION: Results indicate a poorer functional outcome after vascular extremity trauma to the LE than to the UE

Keywords : vascular trauma; extremity trauma; upper limb vascular trauma; lower limb vascular trauma.

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