Open treatment for the fracture of a limb with artificial arteriovenous fistula

There are an increasing number of fractures of a limb with artificial arteriovenous (A-V) fistula in patients with end-stage renal disease (ESRD). These fractures were traditionally treated with close reduction and cast immobilization due to concern of fistula failure and wound infection. We describe successful experience of a fracture of a limb with A-V fistula treated with open reduction and internal fixation (ORIF).