骨折并发血管损伤可以是原发外伤或是手法复位中引起骨折断端刺破邻近血管。切开复位内固定手术损伤血管 ,鲜有产生严重不良后果的报道。其原因是骨折手术中损伤常被归为骨折本身的并发症 ,或术中致血管损伤大多可在手术当时发现 ,并且及时采取补救措施 ,即或遗留后遗症 ,亦被 Fractures complicated by vascular injury can be caused by primary trauma or manual reduction caused by fractures of the broken end of the adjacent blood vessels. Open reduction and internal fixation of vascular injury, rarely serious adverse consequences reported. The reason is that the injury in fracture surgery is often classified as a complication of the fracture itself or the intraoperative vascular injury can mostly be found at the time of the operation and timely remedial measures are taken,