Evaluation and Management of Peripheral
Vascular Injury
Part 2

Annotation for Point H

Mangled extremities with a combination of injuries to the artery, bone, soft tissue, tendon, and nerve resulted in amputation rates of 42% to 78% in older series.^26-28  While amputation rates have decreased in recent years, long-term functional outcomes in patients with either limb salvage or amputation have been disappointing.²⁹ In the absence of absolute criteria for amputation such as disruption of the posterior tibial nerve in the adult or a crush injury with warm ischemia greater than 6 hours, limb salvage may be considered.^30,31