Experience obtained from the major wars of the twentieth century provides the basis for the present approach to civilian peripheral vascular injuries.<sup>6 DeBakey E., Simeone C.F. Battle injuries of the arteries in World War II: An analysis of 2,471 cases Ann Surg 1946 ;  123 : 534  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti, 14 Gorman J.F. Combat arterial trauma analysis of 106 limb-threatening injuries Arch Surg 1969 ;  98 : 160

Cliccare qui per andare alla sezione Riferimenti, 18 Hughes C.H. Arterial repair during the Korean War Ann Surg 1958 ;  147 : 555

Cliccare qui per andare alla sezione Riferimenti, 23 Lovric Z., Wertheimer B., Candrlic K. , e al. War injuries of major extremity vessels J Trauma 1994 ;  36 : 248  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti, 35 Rich N.A., Baugh J.H., Hughes C.W. Acute arterial injuries in Vietnam: 1,000 cases J Trauma 1970 ;  5 : 359  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti</sup> Approximately 90% of all peripheral arterial injuries are located in the extremities, <sup>35 Rich N.A., Baugh J.H., Hughes C.W. Acute arterial injuries in Vietnam: 1,000 cases J Trauma 1970 ;  5 : 359  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti</sup> with the lower extremity being more common in military experience and upper extremity vascular injuries more frequent in civilian experience. Wounds that involve vascular structures of the extremity are a significant cause of morbidity and mortality in the traumatized patient.

During World War II, ligation of the injured artery was routinely performed in extremity trauma. For popliteal artery injuries, <sup>6 DeBakey E., Simeone C.F. Battle injuries of the arteries in World War II: An analysis of 2,471 cases Ann Surg 1946 ;  123 : 534  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti</sup> this resulted in an amputation rate of 73%. The formal repair of peripheral vascular injuries was first performed in the Korean conflict, <sup>18 Hughes C.H. Arterial repair during the Korean War Ann Surg 1958 ;  147 : 555

Cliccare qui per andare alla sezione Riferimenti</sup> and these techniques were further refined during the Vietnam War, <sup>35 Rich N.A., Baugh J.H., Hughes C.W. Acute arterial injuries in Vietnam: 1,000 cases J Trauma 1970 ;  5 : 359  [cross-ref]

Cliccare qui per andare alla sezione Riferimenti</sup> during which the amputation rate for popliteal artery injuries declined to 32%. Continued improvement and refinements in the management of vascular injuries in the traumatized patient have reduced overall limb loss in civilian series to less than 5%. Severe long-term disability as a result of a vascular injury and associated injuries occurs in another 20% to 50%.<sup>49 Weaver F.A., Rosenthal R.E., Waterhouse G. , e al. Combined vascular and skeletal injuries of the lower extremities Am Surg 1984 ;  50 : 189

Cliccare qui per andare alla sezione Riferimenti</sup>