血管損傷を伴った下肢骨折の症例

抄録

Ten cases of arterial injury associated with fracture of the lower extremity for the past 12 years were reviewed. Eight cases were caused by traffic and the remaining two by industrial accidents.
Two cases were femoral, five tibial and three both fractures, and the injured arteries were three femoral, five popliteal and two tibial arteries, being adjacent to the fracture sites.
Although surgical repair of arterial injury has come recently to be successfully applied for its acute stage, diagnosis and initial treatment were easily delayed and our cases had showed already the distal ischemic necroses at admission. Except one case with a false aneurysm of the posterior tibial artery, amputations were finally performed for other nine cases.