The management of forearm arterial @entity130 is controversial and follow-up data on such injuries is scant. A survey was made of 249 @entity1 with penetrating @entity130 to determine the incidence and outcome of @entity1317 . Sixty-six @entity1 (26.5%) sustained 69 @entity1317 documented at operation or with angiography. The clinical manifestations of @entity1317 were often subtle; 42.4 per cent of the @entity1 had normal pulses and only 7.6 per cent presented with distal @entity63 . In 9.1 per cent of the @entity1 there was no clinical evidence of @entity1317 . The most frequent types of @entity1317 were transection (72.5%) and partial laceration (14.5%). Arterial repair was performed in 84.8 per cent of the cases, and resection with end-to-end @entity254 was usually possible. @entity2054 were necessary in 18.2 per cent of the cases. The early @entity260 seen were wound-related, and these were six times more frequent in the group undergoing arterial ligation (36% vs 6%). In 49 @entity1 evaluated an average of 6 months after repair, the patency rate determined by clinical examination was 85.7 per cent. Because of a high incidence of associated nerve (56.1%) and tendon (54.5%) injuries, the functional status of the injured extremity was less satisfactory, with only 49.2 per cent of the @entity1 having normal hand function. Since the forearm vessels can be repaired with minimal morbidity and acceptable results, arterial ligation is recommended only when repair is not readily accomplished, or when treatment of a more pressing associated @entity130 .

Acute penetrating XXXX of the forearm. Ligation or repair?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemia'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity2054 :: ('MESH:D003161', 'Disease') :: ['Volar compartment fasciotomies'] @entity1317 :: ('MESH:D057772', 'Disease') :: ['arterial injury', 'vascular injury', 'arterial injuries'] @entity130 :: ('MESH:D014947', 'Disease') :: ['injury demands priority', 'forearm trauma', 'trauma']
@entity1317 :: (MESH:D057772,Disease) :: ['arterial injuries']
