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CC BY 4.0 · Surg J (N Y) 2022; 08(03): e219-e223
DOI: 10.1055/s-0042-1756206
Case Report

Femoral Artery Injuries in Closed Femur Shaft Fractures: Case Report

Sathya Vamsi Krishna 
1   Department of Microvascular and Orthopaedic Surgery, Sanjay Gandhi Institute of Trauma and Orthopedics, Bengaluru, Karnataka, India
,
Sindhu B.
1   Department of Microvascular and Orthopaedic Surgery, Sanjay Gandhi Institute of Trauma and Orthopedics, Bengaluru, Karnataka, India
,
Suhas T.R
1   Department of Microvascular and Orthopaedic Surgery, Sanjay Gandhi Institute of Trauma and Orthopedics, Bengaluru, Karnataka, India
,
Chandrashekar H. Sumanahalli
1   Department of Microvascular and Orthopaedic Surgery, Sanjay Gandhi Institute of Trauma and Orthopedics, Bengaluru, Karnataka, India
› Author Affiliations Funding None.
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Abstract

Case 1 and 2 Two young male patients, sustained injury to the superficial femoral artery (SFA) following a closed femur shaft fracture. The arterial injuries were confirmed by computed tomography angiography and both underwent fracture fixation and on SFA exploration; a thrombosed arterial segment was noted at the fracture site, addressed with arteriotomy and thrombectomy to restore the vascularity. At 1-year follow-up, both patients had good union at the fracture site and a well-perfused limb.

Conclusion Thorough clinical examination and appropriate diagnostic studies can diagnose these rare vascular injuries in closed fractures and with early vascular repair potentially limb-threatening complications can be prevented.

Keywords

closed femur shaft fracture - vascular injury - superficial femoral artery - thrombectomy - fasciotomy - intramedullary interlocking nail

Statement of Informed Consent

Both the patient was informed that data concerning the case would be submitted for publication, and they provided consent during the last follow-up.Note

Study conducted at the Department of Orthopedics, Sanjay Gandhi institute of Trauma and Orthopedics, Byrasandra, Bengaluru, Karnataka 560011, India.




Publication History

Received: 30 April 2021

Accepted: 07 June 2022

Article published online:
13 October 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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