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