Case 1 and 2 Two young male patients, sustained injury to the superficial femoral artery (SFA) following a closed femur shaft fracture. The arterial injuries were confirmed by computed tomography angiography and both underwent fracture fixation and on SFA exploration; a thrombosed arterial segment was noted at the fracture site, addressed with arteriotomy and thrombectomy to restore the vascularity. At 1-year follow-up, both patients had good union at the fracture site and a well-perfused limb.

Conclusion Thorough clinical examination and appropriate diagnostic studies can diagnose these rare vascular injuries in closed fractures and with early vascular repair potentially limb-threatening complications can be prevented.

Both the patient was informed that data concerning the case would be submitted for publication, and they provided consent during the last follow-up.Note

Study conducted at the Department of Orthopedics, Sanjay Gandhi institute of Trauma and Orthopedics, Byrasandra, Bengaluru, Karnataka 560011, India.

Received: 30 April 2021

Accepted: 07 June 2022

Article published online:
13 October 2022

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