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CODE: 1095
 

MEDICO-LEGAL EVALUATION OF VASCULAR INJURIES OF LIMBS IN TURKEY

 

 

Asirdizer M, Yavuz MS, Buken E, Daglar S, Uzun I.

 

Journal of Clinical Forensic Medicine, 2004, 11(2). 59-64.

 

 

ABSTRACT

 

This study evaluated 372 cases of post-traumatic extremity vessel lesions, for which Forensic Medicine Council, Istanbul, Turkey prepared medico-legal evaluation reports between 1998 and 2000.

 

The study group (n=372) comprised of 346 men (93.01%) and 26 women (6.99%), and their ages ranged between 6 and 73 years (30.18 ± 6.13). There were 378 artery (74.47%), and 131 vein injuries (25.53%) out of a total of 509 extremity vessel injuries. The most frequently injured arteries and veins were femoral artery (n=73), and profound femoral vein (n=41) respectively. The causes of injuries were as follows: cutting and stabbing objects, in 160 cases (43.01%); gunshots in 136 cases (36.56%); traffic accidents in 52 cases (13.98%); work accidents in 23 cases (6.18%); and blunt trauma in one case (0.27%). These injuries were accompanied by local nerve lesions (27.15%), local bone lesions (37.10%), and injuries to other organs (11.02%).

 

The medico-legal evaluations by the Forensic Medicine Council showed that there were vital risks in 371 cases. Additionally, there were “organ dysfunction” in 37 (9.95%) and “organ loss” in 53 (14.25%) cases.

 

The results of this study suggested that the main causes of severe vessel injuries, i.e. accompanied by bone and nerve lesions, and had serious consequences such as amputation, permanent disorders or loss of function, were gunshot injuries and traffic accidents.

 

Key words: Vessel injuries, trauma, vital risk, organ dysfunction, organ loss, Turkish Penal Code.

CITED BY:

1. Shakeri AB, Tubbs RS, Shoja MM. “The most common anatomical sites of arterial injury in the extremities: a review of 75 angiographically-proven cases”,  Folia Morphologica 65 (2), pp. 116-120.

2. Gamsiz Bilgin N, Ozge A, Mert E, Yalcinkaya DE, Kar H. Importance of electromyography and the electrophysiological severity scale in forensic reports”, Journal of Forensic Sciences, 2007; 52 (3): 698-701.

3. Yılmaz C. “Osteoartrit nedeniyle primer total diz artroplastisi uygulanan olguların değerlendirilmesi”, Sağlık Bakanlığı Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi II. Ortopedi ve Travmatoloji Kliniği Uzmanlık Tezi, 2006, s: 13, 90.

4. Dabbagh A, Mar'ashi AS, Malek B. “Traumatic arteriovenous fistula due to an old gunshot injury: a victim from the Afghanistan war”, Military Medicine. 2007; 172(10): 1129-31.

 

5. Rimpler H, Pöhlmann G, Wagner W. "Auswertung von 30 Jahren (1973 bis 2002) in der Chirurgischen Universitätsklinik Jena versorgter Gefäßverletzungen unter besonderer Berücksichtigung von Diagnostik, Ischämiezeit, Therapie und Amputationsrate - eine retrospektive Studie] Medical Faculty of the Friedrich Schiller University Jena." Thesis to the acquisition of the academic degree doctor medicine. 2007; p: 86.

 

6. Asirdizer M, Yavuz MS, Ulucay T, Dizdar MG. “Kesici- delici alet yaralanması sonucu gelişen dev subklavian arter psödoanevrizması”. Türkiye Klinikleri Adli Tıp Dergisi, 2009; 6(2): 92-7.

 

7.  Nemati M, Nosratinia H, Asefi S. Angiographic findings of arterial injuries in extremity trauma. The Journal of Ofogh -e- Danesh. 2009; 15(1): 15-20.

 

8. Hadzimehmedagic A, Vranic H, Gavrankapetanovic I, Becirbegovic S, Kacila M, Hadzihasanovic B, Talic A. Treatment of rare posttraumatic false aneurism and A-V fistula of the deep femoral artery and vein. Med Arh. 2010; 64(1): 53-4.

 

9. Naumenko LU, Domansky AN, KhomyakovVN. Results of treatment of remote consequences of multıstructıal damages of forearm and hand (UKRAINE) [РЕЗУЛЬТАТИ ЛІКУВАННЯ ВІДДАЛЕНИХ НАСЛІДКІВ ПОЛІСТРУКТУРНИХ ПОШКОДЖЕНЬ ПЕРЕДПЛІЧЧЯ І КИСТІ]. Trauma. 2009; 10(2): 221-5.

10. Alcalde SG. Medicolegal evaluation of previous state and its influence in the time of healing and aftermath (SPANISH) [Valoracıón médıco legal del estado anterıor y su ınfluencıa en el tıempo de curacıón y secuelas] Valoracıón médıco legal del estado anterıor y su ınfluencıa en el tıempo de curacıón y secuelas en lesıonados con repercusıón judıcıal. Fundacıon Mapfre. 2007.

LÜTFEN YAYINLARIMIZA YAPTIGINIZ SİTASYONLARI, SİTASYON FORMU' NU DOLDURARAK BİZE BİLDİRİNİZ. TEŞEKKÜR EDERİZ.
 
 
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