Assessment and Interventions for Vascular Injuries Associated With Fractures

Clay A. Spitler, MD; David A. Patch, MD; Graeme E. McFarland, MD; Walt R. Smith, MD


J Am Acad Orthop Surg. 2022;30(9):387-394. 

In This Article


Early recognition and intervention for vascular injuries associated with fractures is crucial for successful outcomes. Although a surgical sequence remains somewhat controversial, coordinated multidisciplinary care and communication among surgical teams is critical. Many factors have been associated with poor outcomes, including prolonged warm ischemia time, blunt trauma, associated neurologic injury, and compartment syndrome. The decision to pursue limb salvage remains a challenging clinical problem with variable results. Each case should be handled on an individual basis, and extensive communication between treating surgical teams is important to provide optimal outcomes.