Closed Femoral Shaft Fracture Associated With Superficial Femoral Artery Thrombosis in a Child

Femur fractures are common in paediatric population and femoral shaft fractures have an incidense of 1.4-1.7% of all paediatric fractures. These are often seen in boys rather than girls. Most of the fractures are transverse, non-comminuted and closed [1]. The mechanism of the femoral shaft fracture for older children is associated with high-energy transmission such as traffic accidents. Combined femoral shaft fracture and arterial injuries of the limbs are infrequent, however, vascular injuries associated with femoral shaft fractures and dislocations have a high morbidity. Common femoral or superficial femoral artery injuries lead to acute limb ischaemic due to restriction of the blood flow by intramural hematoma, spasm, stretch injury, intimal disruption, arteriosclerotic plaque disruption and haemorrhage.