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Ankle-Brachial Index, CT Angiography, and Proximal Tibial Traction for Gunshot Femoral Fracture

Johnathan R. Kent, MD1; James Jeffries, MD2; Andrew Straszewski, MD3; Kenneth L. Wilson, MD1
1 Department of General Surgery, University of Chicago Medicine
2 Department of Radiology, University of Chicago Medicine
3 Department of Orthopaedic Surgery, University of Chicago Medicine

1. Introduction

2. Ankle-Brachial Index

3. CT Angiography

4. Proximal Tibial Traction

  1. Approach
  2. Inject Local Anesthetic
  3. Prepare Traction Pin
  4. Prep and Drape
  5. Lateral Incision
  6. Dissection to Tibia
  7. Drill Pin Through Tibia
  8. Medial Incision
  9. Advance Pin Through Medial Incision
  10. Traction Bow and Dressings