[Secondary hemorrhage following trauma to the bones and soft tissues of the extremities]

An analysis of 16 cases of secondary hemorrhages in injuries of bones and soft tissues of the extremities is presented. The secondary hemorrhages occurred within the period from 16 hours to 27 days after the trauma. Angiographic study is a valuable adjunct for establishing the correct diagnosis. Arrosion of large arterial trunks was the adjunct for establishing the correct diagnosis. Arrosion of large arterial trunks was the basic cause of the secondary hemorrhage. In the prophylaxis of the latter a special importance is attached to a wide wound dissection in primary surgical treatment and to secure hemostasis, especially in the body portions having multilayer musculature.