PMID: 8114141Feb 1, 1994Paper

Blunt vascular injury associated with closed mid-shaft femur fracture: a plea for concern

The Journal of Trauma
Y KlugerD L Diamond


During a period of six years, 765 consecutive patients were treated by the trauma service at Allegheny General Hospital for closed mid-shaft femur fractures that were a component of their injury complex. Thirty-one patients underwent angiography of the involved extremity for indications including loss of pulses in eleven and large hematomas or deformities of the thigh in the remainder. Ten patients (1.3%) were found to have acute vascular injuries. In nine patients there was an intimal flap of the superficial femoral artery (SFA), and in one, a pseudoaneurysm. Two patients had injuries of the femoral nerve. Three patients had no other associated major injuries (Injury Severity Score range, 10-19). Twelve months after the initial injury, one patient developed an arteriovenous fistula of the SFA. Detailed, repeated physical examinations, early utilization of angiography, and intensive follow-up by the trauma surgeon or orthopedic surgeon of patients with closed mid-shaft femur fractures should lead to early recognition of this potentially serious association.


Aug 3, 2007·Cardiovascular and Interventional Radiology·Nirmal KakaniJohn Hancock
Mar 1, 1997·Injury·M M al-SalmanF al-Salman Fachartz
Jun 9, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·O TunaliO Yazicioglu
Mar 4, 2000·Emergency Medicine Clinics of North America·N Rudman, D McIlmail
Feb 12, 2021·Indian Journal of Orthopaedics·Glen Zi Qiang LiauJames Hoi Po Hui

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