Abstract

• The authers report a clinical experience of 7 cases having fracture of the lower extremity associated with vascular injury from August 1989 to July 1990 in the Department of Orthopedic Surgery, in Je University Sang Gye Paik Hospital.
  We obtained the noticeable key point in the diagnosis and treatment of fracture of lower extremity associated with vascular injury. The result were as follows :
  1. Orthopedic trauma rarely produces injuries requiring vascular surgical repair. This relative rarity is further complicated by the potentially subtle nature of vascular injury.
  2. Displaced fractures of the distal femur and proximal tibia are associated with highest risk of concomitant vascular injury.
  3. Doppler signals and even palpable pulses do not exclude vascular damage.
  4. Amputation before life threatening sepsis develops Is required for the extremities which were cadaveric foot at the initial examination, and had severe muscle crushing injury and bone loss.
• Key words: Vascular injury

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