Early (within 6 hours of injury) restoration of blood flow.
The treatment of fractures with vascular injury necessitates early diagnosis of compromised circulation and the return of blood flow to ischemic tissue within 6 hours to avoid amputation. Fracture concerns become secondary; however, provisional alignment of the fracture may help the vascular surgeon repair injured vessels. Recognition of compartment syndrome is important, but compartment release without blood flow does not change the ischemic situation.
