[Reparative surgery in arterial injuries of the limbs].
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The records of 50 patients with 67 major civilian type vascular injuries treated in a large urban center from 1967 to 1975 were reviewed in terms of nature of the injury, form of surgical management and early and late results. Civilian injuries differ in many aspects from those of their military counterparts and often require different treatment. In both, however, treatment protocols should be periodically re-evaluated for a number of reasons, chiefly among which are changing patterns of delivery of the injured patient to the medical center and advances in technical skills. Notable in the presently reported series were the low mortality and the absence of a need for amputation, with a limb salvage rate of 100 per cent. Despite modern advances in technical proficiency in vascular reconstruction, there is still a place for careful vascular ligation in the definitive surgical management of major vascular trauma.
Break dancing is a popular contemporary activity that has important medical implications. Some dancers have complained of lower back pain and difficulty in bending over-the "breakdance back syndrome." Break dancing injuries are often comparable to the orthopedic injuries that occur in unsupervised athletic activities. Careful screening, instruction, supervision and training of break dancers will help prevent injuries.
The rehabilitation of the patient with an upper extremity burn begins with the study and understanding of the magnitude of burn problems. The initial care as well as reconstruction of selected chronic deformities is presented to help the physician to develop an approach to some of the more common burn injuries.
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