11 femoral fractures with vascular injury: good outcome with early vascular repair and internal fixation.
Acta Orthop Scand
; 67(2): 161-4, 1996 Apr.
Article
en En
| MEDLINE
| ID: mdl-8623572
ABSTRACT
We reviewed 11 consecutive cases with combined femoral fracture and vascular injury presenting with acute ischemia. 6 cases had ischemia exceeding 8 hours and 4 of them developed massive muscle necrosis in the lower leg. 5 cases with ischemia less than 8 hours had no muscle necrosis. Vascular repair preceded fracture stabilization in 5 cases; there were no vascular complications during the subsequent fracture stabilization. 6 fractures treated with internal fixation had uneventful fracture-healing, whereas the 4 which were treated with external fixation needed later reoperations to obtain fracture-healing. We conclude that the limb must be reperfused within 6-8 hours. Vascular repair should be the first procedure, and fracture fixation by internal fixation is then preferred.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Fracturas del Fémur
/
Fémur
/
Fijación Interna de Fracturas
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Adolescent
/
Adult
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Acta Orthop Scand
Año:
1996
Tipo del documento:
Article
País de afiliación:
Noruega