Case Report

Limb salvage in acute upper extremity ischemia and compartment syndrome using negative pressure wound therapy

Volume: 65 Number: 2 June 10, 2026
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Limb salvage in acute upper extremity ischemia and compartment syndrome using negative pressure wound therapy

Abstract

Vascular trauma involving major arteries requires urgent intervention to prevent limb loss and systemic complications. This case report presents a 35-year-old male with acute upper extremity ischemia, complete motor and sensory deficiency, and compartment syndrome following multiple sharp injuries. Emergency surgery included brachial artery repair with saphenous vein graft interposition and fasciotomy. NPWT was utilized postoperatively to manage the fasciotomy site, leading to successful wound closure without grafting. Early rehabilitation facilitated motor and sensory recovery. This case underscores the importance of NPWT and fasciotomy in the management of complex vascular trauma cases.

Keywords

Ethical Statement

Informed consent has been obtained from the patient (or patient’s family/guardian*) for publication of the case report and accompanying images. Ethical approval was granted by the Ethics Committee of Ege University Faculty of Medicine. The study's ethics committee application number is 2025-5002 and its approval number is 25-5T/34.

References

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  2. Sraj S, Henderson JT, Bramer M, Gelman J. Principles of Fasciotomy Closure After Compartment Syndrome Release. J Am Acad Orthop Surg [Internet]. 2022 Sep 15;30(18):879–87. Available from: http://www.ncbi.nlm.nih.gov/pubmed/36001887
  3. Zannis J, Angobaldo J, Marks M, DeFranzo A, David L, Molnar J, et al. Comparison of fasciotomy wound closures using traditional dressing changes and the vacuum-assisted closure device. Ann Plast Surg [Internet]. 2009 Apr;62(4):407–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19325346
  4. Giotis D, Panagiotopoulos V, Plakoutsis S, Vardakas D, Konstantinidis C. Delayed Presentation of Acute Compartment Syndrome After Isolated Closed Fibular Shaft Fracture: A Case Report. Cureus [Internet]. 2024 Mar;16(3):e55850. Available from: http://www.ncbi.nlm.nih.gov/pubmed/38590458
  5. Van Rysselberghe NL, Gonzalez CA, Calderon C, Mansour A, Oquendo YA, Gardner MJ. Negative Pressure Wound Therapy for Extremity Open Wound Management: A Review of the Literature. J Orthop Trauma [Internet]. 2022 Sep 1;36(Suppl 4):S6–11. Available from: http://www.ncbi.nlm.nih.gov/pubmed/35994302
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Details

Primary Language

English

Subjects

Clinical Sciences (Other)

Journal Section

Case Report

Authors

Publication Date

June 10, 2026

Submission Date

November 28, 2025

Acceptance Date

March 13, 2026

Published in Issue

Year 2026 Volume: 65 Number: 2

DOI

https://doi.org/10.19161/etd.1829241

IZ

https://izlik.org/JA95SC35EH

Cite

RIS / Bibtex
APA
Karaca, S., Ünlü, Z., Kapkın, A. Y., & Yağdı, T. (2026). Limb salvage in acute upper extremity ischemia and compartment syndrome using negative pressure wound therapy. Ege Tıp Dergisi, 65(2), 345-348. https://doi.org/10.19161/etd.1829241
AMA
1.Karaca S, Ünlü Z, Kapkın AY, Yağdı T. Limb salvage in acute upper extremity ischemia and compartment syndrome using negative pressure wound therapy. EJM. 2026;65(2):345-348. doi:10.19161/etd.1829241
Chicago
Karaca, Sedat, Zehra Ünlü, Aysen Yaprak Kapkın, and Tahir Yağdı. 2026. “Limb Salvage in Acute Upper Extremity Ischemia and Compartment Syndrome Using Negative Pressure Wound Therapy”. Ege Tıp Dergisi 65 (2): 345-48. https://doi.org/10.19161/etd.1829241.
EndNote
Karaca S, Ünlü Z, Kapkın AY, Yağdı T (June 1, 2026) Limb salvage in acute upper extremity ischemia and compartment syndrome using negative pressure wound therapy. Ege Tıp Dergisi 65 2 345–348.
IEEE
[1]S. Karaca, Z. Ünlü, A. Y. Kapkın, and T. Yağdı, “Limb salvage in acute upper extremity ischemia and compartment syndrome using negative pressure wound therapy”, EJM, vol. 65, no. 2, pp. 345–348, June 2026, doi: 10.19161/etd.1829241.
ISNAD
Karaca, Sedat - Ünlü, Zehra - Kapkın, Aysen Yaprak - Yağdı, Tahir. “Limb Salvage in Acute Upper Extremity Ischemia and Compartment Syndrome Using Negative Pressure Wound Therapy”. Ege Tıp Dergisi 65/2 (June 1, 2026): 345-348. https://doi.org/10.19161/etd.1829241.
JAMA
1.Karaca S, Ünlü Z, Kapkın AY, Yağdı T. Limb salvage in acute upper extremity ischemia and compartment syndrome using negative pressure wound therapy. EJM. 2026;65:345–348.
MLA
Karaca, Sedat, et al. “Limb Salvage in Acute Upper Extremity Ischemia and Compartment Syndrome Using Negative Pressure Wound Therapy”. Ege Tıp Dergisi, vol. 65, no. 2, June 2026, pp. 345-8, doi:10.19161/etd.1829241.
Vancouver
1.Sedat Karaca, Zehra Ünlü, Aysen Yaprak Kapkın, Tahir Yağdı. Limb salvage in acute upper extremity ischemia and compartment syndrome using negative pressure wound therapy. EJM. 2026 Jun. 1;65(2):345-8. doi:10.19161/etd.1829241

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