TY - JOUR
T1 - Occult femoral artery injury in a case of closed fracture of the femur revealed during guillotine above-knee amputation
T2 - A case report
AU - Kumar, A. J.Shyam
AU - Power, Dominic
AU - Prasad, Vishnu
AU - Sargeant, Ian
PY - 2004/4/1
Y1 - 2004/4/1
N2 - Arterial injury is most commonly seen with penetrating injuries. An arterial disruption in a closed fracture is rare. It has been reported in only 0.3% of long bone fractures. The authors report a case of femoral artery injury in a polytrauma patient associated with a closed femoral fracture. The arterial injury was not apparent until the patient had an above-knee guillotine amputation done to revise his ipsilateral below-knee traumatic amputation, which released the soft-tissue tamponade effect on the leak. Unless the possibility of this injury is kept in mind, above-knee amputation or any other open procedure on a patient with a femoral fracture can cause exsanguination of the patient.
AB - Arterial injury is most commonly seen with penetrating injuries. An arterial disruption in a closed fracture is rare. It has been reported in only 0.3% of long bone fractures. The authors report a case of femoral artery injury in a polytrauma patient associated with a closed femoral fracture. The arterial injury was not apparent until the patient had an above-knee guillotine amputation done to revise his ipsilateral below-knee traumatic amputation, which released the soft-tissue tamponade effect on the leak. Unless the possibility of this injury is kept in mind, above-knee amputation or any other open procedure on a patient with a femoral fracture can cause exsanguination of the patient.
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U2 - 10.1007/s00590-003-0108-z
DO - 10.1007/s00590-003-0108-z
M3 - Article
AN - SCOPUS:3042795591
SN - 0948-4817
VL - 14
SP - 45
EP - 46
JO - European Journal of Orthopaedic Surgery and Traumatology
JF - European Journal of Orthopaedic Surgery and Traumatology
IS - 1
ER -