Huge leg hematoma due to vascular disruption following femur fracture: An industrial accident catastrophe

Lower extremity injuries represent one of the most common injury patterns observed in the daily practice of trauma surgery. Trauma to the long bones of the lower extremity may cause a vascular trauma involving either arterial or venous system or both. Additional vascular involvement worsens the clinical status and prognosis of the trauma patient with a potential limb loss. In this paper, an industry worker with a gross trauma causing proximal femur fracture with femoral artery and vein disruption and his surgical management was reported.

[1]  H. S. Başbuğ,et al.  Tibioperoneal Artery and Vein Reconstruction with Small Saphenous Vein Graft After Gunshot Injury: Original Image , 2016 .

[2]  L. Kraiss,et al.  National trauma databank analysis of mortality and limb loss in isolated lower extremity vascular trauma. , 2011, Journal of vascular surgery.

[3]  J. Holcomb,et al.  Fractures with major vascular injuries from gunshot wounds: implications of surgical sequence. , 2002, The Journal of trauma.

[4]  J. Robbs,et al.  Lower extremity arterial injury: results of 550 cases and review of risk factors associated with limb loss , 2000, Journal of vascular surgery.

[5]  L. Levin,et al.  The functional outcome of lower-extremity fractures with vascular injury. , 1997, The Journal of trauma.

[6]  S. Stevens,et al.  Concomitant orthopedic and vascular injuries as predictors for limb loss in blunt lower extremity trauma. , 1997, The American surgeon.

[7]  D. Bandyk.  Vascular injury associated with extremity trauma. , 1995, Clinical orthopaedics and related research.

[8]  V. Andrikopoulos,et al.  Arterial injuries associated with lower-extremity fractures. , 1995, Cardiovascular surgery.

[9]  L. Hollier,et al.  Fasciotomy in vascular trauma: is it too much, too often? , 1994, The American surgeon.

[10]  A. Rosemurgy,et al.  Outcome of treatment of combined orthopedic and arterial trauma to the lower extremity. , 1989, The Journal of trauma.

[11]  K. Johansen,et al.  Open tibial fractures with associated vascular injuries: prognosis for limb salvage. , 1985, The Journal of trauma.