James L. Frank, MD a, Barry L. Reimer, MD b, John J. Raves, MD, FAGS a

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Presentation transcript:

Traumatic iliofemoral arterial injury: An association with high anterior acetabular fractures James L. Frank, MD a, Barry L. Reimer, MD b, John J. Raves, MD, FAGS a Journal of Vascular Surgery Volume 10, Issue 2, Pages 198-201 (August 1989) DOI: 10.1016/0741-5214(89)90356-X Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Angiogram documents nonvisualization of distal left external iliac artery. Journal of Vascular Surgery 1989 10, 198-201DOI: (10.1016/0741-5214(89)90356-X) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Occlusion of distal left external iliac artery with reconstitution of common femoral artery. Journal of Vascular Surgery 1989 10, 198-201DOI: (10.1016/0741-5214(89)90356-X) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Lateral forces (large arrow) cause the femoral head to be propelled through the acetabulum, disrupting the pelvic ring (inset). Journal of Vascular Surgery 1989 10, 198-201DOI: (10.1016/0741-5214(89)90356-X) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 A, Anteroposterior compression (large arrows). B, Temporary lateral distraction and eversion (open arrows) of the acetabulum with ring deformation (broken line, inset) and disruption at b and c. C, Reactive reformation of the now fractured ring. Journal of Vascular Surgery 1989 10, 198-201DOI: (10.1016/0741-5214(89)90356-X) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Lateral distractive forces transmitted from the displacing acetabular fragments (large open arrows) affect axial distraction (dark arrows) of the vascular segment anchored medially by major side branches. Journal of Vascular Surgery 1989 10, 198-201DOI: (10.1016/0741-5214(89)90356-X) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions