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Aim To perform an in-depth review of the safe vascular corridor around the femur in order to decrease possible vascular injury. Background Despite regular use of half pins in the femur, there is no region entirely safe for percutaneous pin placement. Damage to a major nerve or vessel must be avoided at all costs. Vascular complications during Ilizarov fixator surgery to the femur are rare but serious. Case description Of 306 cases of Ilizarov fixation to the femur in the period from 2002 to 2016, two cases had vascular complications. The first case developed a delayed superficial femoral artery (SFA) pseudoaneurysm and the second case sustained an early deep femoral artery (SFA) injury. Conclusion The in-depth review of the vascular anatomy around the femur with relevance to the placement of half pins indicates that the femoral shaft segment greatest at risk to lead to a vascular injury lies between the two points: 8 and 24 cm proximal to the adductor tubercle. How to cite this article Khanfour AA, Khanfour AA. Vascular Complications during Ilizarov Fixator Surgery to the Femur: Two Case Reports with the Introduction of a Method for Determining the Safe Vascular Corridor around the Femur. Strategies Trauma Limb Reconstr 2019;14(2):106–110.

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