Femoral Artery Injuries in Closed Femur Shaft Fractures: Case Report.

Pub Date : 2022-10-13 eCollection Date: 2022-07-01 DOI:10.1055/s-0042-1756206
Sathya Vamsi Krishna, Sindhu B, Suhas T R, Chandrashekar H Sumanahalli
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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.

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股骨闭合性骨折中的股动脉损伤:病例报告。
病例 1 和 2 两名年轻男性患者因股骨闭合性骨折导致股浅动脉 (SFA) 损伤。动脉损伤经计算机断层扫描血管造影证实,两人均接受了骨折固定术和股浅动脉探查术;在骨折部位发现了一段血栓形成的动脉,通过动脉切开术和血栓切除术恢复了血管通畅。在 1 年的随访中,两名患者的骨折部位愈合良好,肢体的血运良好。结论 通过全面的临床检查和适当的诊断研究,可以诊断出闭合性骨折中罕见的血管损伤,而通过早期血管修复,则可以预防可能危及肢体的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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