A case of a young male, restrained passenger who was involved in a rollover motor vehicle crash. A metal road sign pole was impaled through and through his right lower extremity.
He was taken to OR with a shattered femur and transected superficial femoral artery and vein. After removing the sign post, we ligated his superficial femoval vein and placed a temporary shunt in the artery between the superficial femoral and popliteal arteries. Orthopaedics then plated his femur. and we then performed a bypass of his superficial femoral artery with contralateral greater saphenous vein.
He was able to ambulate with a functional limb post operatively and did surprisingly well!
Discussion & References
Submitted by: Richard Koehler, Steve Merrell