OUTCOME OF DELAYED REPAIR OF ARTERIES AT DISTAL FOREARM: A CROSS-SECTIONAL STUDY

Baqir Hussain; Saqib Qayyum; Shah Fahad Qayyum; Asad Ullah Jan; Anwar Imran; Muhammad Salman

doi:10.46903/gjms/23.1.Special.1795

OUTCOME OF DELAYED REPAIR OF ARTERIES AT DISTAL FOREARM: A CROSS-SECTIONAL STUDY

Baqir Hussain, Saqib Qayyum, Shah Fahad Qayyum, Asad Ullah Jan, Anwar Imran, Muhammad Salman

Abstract

Background: Delayed repair of arterial injuries, particularly in the distal forearm, poses significant challenges in terms of functional recovery and long-term outcomes. This study aimed to assess the outcomes of delayed arterial repair at the distal forearm, evaluating the functional recovery, vascular patency, and associated complications in patients who underwent repair after a significant delay.

Materials & Methods: A Cross sectional study done at Orthopedics and Traumatology Lady Reading Hospital-MTI Peshawar from January 2022 to January 2024. A total of 30 patients fulfilling the inclusion criteria were included who underwent frequency of patency of the arteries after delayed repair of the injured forearm arteries preceded by primary ligation. At the time of inclusion baseline characteristics of all the study participants were documented. Patients were assessed on monthly basis till completion of 12 months to assess for patency by “Allen test” and color Doppler ultrasound. Data was analyzed using SPSS 22:00.

Results: In our study, value of mean age was 23.33 ± 4.87 years. In our study, there were 23 (76.67%) male participants while remaining 7 (23.33%) participants were female. Mean duration since injury was 5.76 ± 2.08 days. In our study, injury to ulnar artery was more frequent 16 (53.33%) as compared to the radial artery 14 (46.67%). Frequency of patency of the arteries after delayed repair of the injured forearm arteries was 17 (56.67%).

Conclusion: Patency of the arteries after delayed repair of the injured forearm arteries preceded by primary ligation was only found in about half of the patient necessitating the requirement of urgent vascular intervention.

Keywords

Delayed; Forearm; Ligation; Radial Artery; Repair; Ulnar Artery.

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DOI: https://doi.org/10.46903/gjms/23.1.Special.1795