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Upper Limb Salvage of a Mangled Limb with Reconstruction of Brachial, Ulnar and Radial Arteries Using an Extremely Long Reversed Bifurcated Great Saphenous Vein: A Case Report with Long-Term Follow-Up

Authors Liu J, Dong S, Wang J, Liu H, Wu Y, Rui Y

Received 5 September 2020

Accepted for publication 11 November 2020

Published 24 November 2020 Volume 2020:13 Pages 1235—1241


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Jun Liu,* Sheng Dong,* Jianbing Wang, Hao Liu, Yongwei Wu, Yongjun Rui

Department of Orthopedics, Wuxi No.9 People’s Hospital Affiliated to Soochow University, Wuxi, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Yongjun Rui
Department of Orthopedics, Wuxi No.9 People’s Hospital Affiliated to Soochow University, 999 Liangxi Road, Wuxi, People’s Republic of China

Abstract: Acute elbow dislocation complicated by arterial injury of upper limb is rare but serious injury. We present the case about destructive injury of brachial, ulnar, and radial arteries with an open posterior dislocation of the right elbow, and a 25cm long reversed bifurcated great saphenous vein graft was applied for arterial reconstruction. The patient had obvious distal pulses after the operation. Ten years’ follow-up showed the good function of the right arm. Using an extremely long vein graft for the upper limb arterial reconstruction is challenging but feasible and provides good results.

Keywords: artery reconstruction, autologous vessel grafts, elbow dislocation, case report

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