This dramatic case presented three phases in its management: (1) a reduction of the fracture-dislocation, which was accomplished easily and satisfactorily; (2) efforts at saving the leg by the decompression procedures previously described; (3) the imperative necessity of saving the patient's life by amputation.
If a similar case should present itself, we feel that this same management would be resorted to, with the possible exception of earlier intervention in the second and third phases.