Trauma Case Rep. 2025 Nov 24;61:101268. doi: 10.1016/j.tcr.2025.101268. eCollection 2026 Feb.

INTRODUCTION: Management of lower extremity vascular trauma involving the Common Femoral (CFA) and Superficial Femoral (SFA) arteries have been well described. However data describing management of traumatic injuries of the Profunda Femoris Artery (PFA) and associated complications is limited.

METHODS: A single institution retrospective review of a Level 1 tertiary care center was performed to identify patients age 18-85 with traumatic PFA injury from November 2014 – December 2021.

RESULTS: Fifteen patients with PFA injuries were identified with a majority (87 %) due to penetrating mechanisms. Identified injuries were transection (67 %), arteriovenous fistula (7 %), and pseudoaneurysm (27 %). Nearly half (46.7 %) had «hard signs» of vascular injury at time of presentation. Two thirds of patients underwent operative or endovascular intervention. Complications occurred in 5 (33.3 %) of patients, and there was one mortality (6.7 %). [Table: see text].

CONCLUSION: Traumatic injury to the PFA is a rare entity that is most commonly seen in penetrating trauma. Treatment depends on associated injuries as well as level of injury. Complications occur in a significant number of patients. Given this, intervention should not be delayed and PFA injuries should be monitored for development of compartment syndrome.

PubMed:41378134 | PMC:PMC12686626 | DOI:10.1016/j.tcr.2025.101268