What is the difference if vessel have thrombus or transection of vessel or penetrating injuries or compression due to haematoma. if the distal pulses are absent and periphery temperature difference is there. is the prognosis is affected by after how many hours intervention is done. what is the role of orthopedic surgeon regarding vascular injury, because he is primary consultant. what is role of vascular surgeon.

how much delay is acceptable according to literature. in our setup vascular surgeon at night is informed after doppler study he suggest treatment and examine  patient in morning. is it ok medico-legally to wait till morning. in this scenario if partial gangrene of limb occurs later on what are medico legal implications. What would be the management of femoral and popliteal artery injuries with femoral and tibial fractures?