Objective: Study ana pathology and therapeutic options of major arterial injuries with associated lower limb fracture or dislocation. Material and method: A prospective observational study on major arterial injuries (femoral artery, popliteal artery, anterior tibial artery or posterior tibial artery) with associated lower limb fracture or dislocation had been treated conservatively at Viet- Tiep Hospital from June 2008 to June 2013. Results: 53 patients with 67 arterial injuries; average age: 33,78 + or - 14,25, men: 74,5 percent; traffic accident: 92,4 percent. Popliteal artery injury occured the highest proportion 37,3 percent; isolated arterial injury 26,9 percent; combined arterio-venous injury 73,1 percent; revascularization 94,0 percent; ligation: 6,0 percent. Fractures 90,6 percent, dislocations 9,4 percent; Immobilisation: external fixation 41,5 percent; internal fixation 58,5 percent; temporary arterial shunt 26,4 percent; fasciotomy 56,6 percent; Immediate results (53): limb salvage 88,7 percent; amputation 11,3 percent; thrombosis: 1,9 percent. Conclusion: arterial injuries with associated lower limb fracture or dislocation was difficult to manage due to their complexity injury that may result in limb loss.
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