Injury to The Superficial Femoral Artery in A Femoral Fracture: A Case Report
DOI:
https://doi.org/10.55640/ijmm-05-02-07Keywords:
Closed femoral shaft fracture, vascular injury, superficial femoral arteryAbstract
A 38-year-old male patient, A.H., sustained multiple injuries, including a femoral fracture with damage to the superficial femoral artery (SFA) and fractures of the right 1st to 8th ribs, after falling from a height of four meters during a handstand. The patient underwent simultaneous surgical interventions, including crossectomy of the great saphenous vein, autovenous grafting of the SFA to restore vascularization, and retrograde intramedullary locked nailing of the femur. After four weeks, the patient was discharged from the hospital, bearing weight on both lower limbs with the assistance of a walker.
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References
V. L. Lemenev, I. P. Mikhailov, and G. A. Isaev, “Treatment of patients with major arterial injuries of the lower extremities,” Angiology and Vascular Surgery, no. 3, pp. 108–114, 2005.
D. D. Sultanov, N. U. Usmanov, A. K. Baratov, et al., “Traumatic injuries of the popliteal and tibial arteries: features of limb ischemia and surgical strategy issues,” Angiology and Vascular Surgery, no. 3, pp. 104–113, 2004.
D. V. Feliciano, C. G. Bitondo, K. L. Mattox, et al., “Civilian trauma in the 1980s. A 1-year experience with 456 vascular and cardiac injuries,” Ann. Surg., vol. 199, no. 6, pp. 717–724, 1984.
C. J. Fox and B. W. Starnes, “Vascular surgery on the modern battlefield,” Surg. Clin. North Am., vol. 87, no. 5, pp. 1193–1211, 2007.
W. D. Clouse, T. E. Rasmussen, M. A. Peck, et al., “In-theater management of vascular injury: 2 years of the Balad Vascular Registry,” J. Am. Coll. Surg., vol. 204, no. 4, pp. 625–632, 2007.
E. B. Woodward, W. D. Clouse, J. L. Eliason, et al., “Penetrating femoropopliteal injury during modern warfare: experience of the Balad Vascular Registry,” J. Vasc. Surg., vol. 47, no. 6, pp. 1255–1264, 2008.
G. Kootstra, J. J. Schipper, A. H. Boontje, H. J. Klasen, and B. Binnendijk, “Femoral shaft fracture with injury of the superficial femoral artery in civilian accidents,” Surg. Gynecol. Obstet., vol. 142, no. 3, pp. 399–403, 1976.
J. J. Halvorson, A. Anz, M. Langfitt, et al., “Vascular injury associated with extremity trauma: initial diagnosis and management,” J. Am. Acad. Orthop. Surg., vol. 19, no. 8, pp. 495–504, 2011.
C. J. Barnes, R. Pietrobon, and L. D. Higgins, “Does the pulse examination in patients with traumatic knee dislocation predict a surgical arterial injury? A meta-analysis,” J. Trauma, vol. 53, no. 6, pp. 1109–1114, 2002.
D. V. Feliciano, F. A. Moore, E. E. Moore, et al., “Evaluation and management of peripheral vascular injury: Part 1,” J. Trauma, vol. 70, no. 6, pp. 1551–1556, 2011.
G. Fallon and N. R. Thomford, “False aneurysm of the superficial femoral artery associated with fracture of the femur,” Angiology, vol. 21, no. 2, pp. 120–123, 1970.
B. Cohen, D. F. Paton, and N. B. Ker, “False aneurysm of the superficial femoral artery associated with fracture of the femur,” Injury, vol. 20, no. 2, pp. 116–117, 1989.
Y. Kluger, M. D. Gonze, D. B. Paul, et al., “Blunt vascular injury associated with closed mid-shaft femur fracture: a plea for concern,” J. Trauma, vol. 36, no. 2, pp. 222–225, 1994.
M. H. Sher, “Principles in the management of arterial injuries associated with fracture/dislocations,” Ann. Surg., vol. 182, no. 5, pp. 630–634, 1975.
C. W. Hughes, “Arterial repair during the Korean war,” Ann. Surg., vol. 147, no. 4, pp. 555–561, 1958.
M. E. Debakey and F. A. Simeone, “Battle injuries of the arteries in World War II: an analysis of 2,471 cases,” Ann. Surg., vol. 123, no. 4, pp. 534–579, 1946.
H. H. Miller and C. S. Welch, “Quantitative studies on the time factor in arterial injuries,” Ann. Surg., vol. 130, no. 3, pp. 428–438, 1949.
F. L. Mitchell III and E. R. Thal, “Results of venous interposition grafts in arterial injuries,” J. Trauma, vol. 30, no. 3, pp. 336–339, 1990.
R. J. Baird and M. L. Doran, “The false aneurysm,” Can. Med. Assoc. J., vol. 91, no. 6, pp. 281–284, 1964.
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