Figure 4
From: Surgical treatment of ipsilateral multi-level femoral fractures
48-year-old male patient who suffered a crush injury to his lower leg: femoral neck fracture and shaft fracture and knee dislocation with severe soft tissue damage including the popliteal artery. Two-step strategy with initial treatment using external fixator and vacuum therapy and secondary definite fixation with DHS and locking plate (a, b). Due to the artery lesion and fatal soft tissue damage of the lower leg, secondary amputation of the femoral shaft was necessary (c).