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N Feature ArticleVascular Injury in Orthopedic Trauma Andreas F. Iatrogenic, MD; George N. Papadopoulos, MD; Zion T. Somalis, MD; Panagiotis Koulouvaris, MD; Panagiotis D. Megaloikonomos, MD; Vasileios
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01
Start by identifying the signs and symptoms of vascular injury in orthopedic cases.
02
Assess the patient's medical history and previous injuries that could increase their risk for vascular injury.
03
Perform a thorough physical examination to look for any signs of diminished pulses, pale or cool extremities, or signs of bleeding.
04
If vascular injury is suspected, order appropriate imaging studies such as Doppler ultrasound or angiography to confirm the diagnosis.
05
Consult with a vascular surgeon to discuss the best approach for managing the vascular injury.
06
Prepare the patient for surgical intervention if necessary. This may involve obtaining informed consent, arranging necessary blood products, and ensuring proper anesthesia is available.
07
During surgery, carefully expose the injured vessel and identify the extent of the injury. Repair the vessel using appropriate techniques such as suturing or using vascular grafts if needed.
08
Postoperatively, closely monitor the patient for any complications such as bleeding, infection, or graft occlusion.
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Provide appropriate postoperative care, including wound care, pain management, and rehabilitation as needed.
10
Follow up with the patient regularly to assess their vascular function and ensure proper healing.

Who needs vascular injury in orthopedic?

01
Individuals who have sustained orthopedic injuries such as fractures or dislocations that have the potential to cause vascular damage.
02
Patients who present with signs and symptoms of vascular compromise in the affected limb, such as diminished pulses, cold or pale extremities, or severe pain.
03
Individuals with a history of previous vascular injury or surgeries involving blood vessels in the orthopedic region.
04
Those who have undergone orthopedic procedures that carry a risk of vascular injury, such as joint replacement surgeries or complex fracture fixations.
05
Patients with underlying vascular conditions or risk factors, such as atherosclerosis, diabetes, or smoking, that may increase their susceptibility to vascular injury.

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