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Won: Salvage of the Arm with Open Humeral Shaft Fracture with Major Vascular Injuries (a case report)
Original Article

J Korean Orthop Assoc 1968;3(1):7-10.

DOI: https://doi.org/10.4055/jkoa.1968.3.1.7

Salvage of the Arm with Open Humeral Shaft Fracture with Major Vascular Injuries (a case report)

Sup Choi Won, M.D.

Dept. of Ortho pedic Surgery School of Medicine, Chonnam University.<Director: Prof. Hyung Soon., Kim>

Copyright © 2019 The Korean Orthopaedic Association

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Twenty-three years old male who sustained accidental machine injury to his right upper extremity, resulting in practically complete discontinuity, visited Chonnam University Hospital on September 30th 1964.
Physical examination revealed fracture of left humerus, injury of brachial artery to venous channels, and almost complete laceration of all adjacent soft tissues, including muscles and skin. Three main nerves, radial, ulnar and median nerves, however, were found intact.
The repair and reconstruction in the following order; fixation of the fracture, end-to-end anastomosis of the brachial artery, debridement and realignment of the muscles and skin sutures. These surgical procedures were completed within 6 hours from the time of accident.
The arm was immobilized with shoulder spica cast for three months. The local circulation was recovered and the fracture healed completely, with restoration of the forearm and hand function but with sacrifice of the elbow and upper arm.
This report presents detailed clinical descriptions on a particular case of open humeral shaft fracture with major vascular injuries and general discussions on the methods of arterial anastomosis in the extremities.

References

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Fig. 1.
Schematic figure of the transverse division of the brachial artery, cephalic vein and basilic vein.
jkoa-3-7f1.tif
Humeral shaft fracture: There is complete irregular transverse fracture line of the mid-shaft of the humerus with medial displacement of the proximal portion
jkoa-3-7f3.tif
Fig. 2.
Schematic figure of the end to end anastomosis
jkoa-3-7f2.tif
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