Aigner R, Konig AM, Ruchholtz S, et al. - The present study was performed to report the results of an innovative standardized approach to prevent wound complications in patients with PAD sustaining fractures below the knee. Researchers conducted a retrospective case series between January 2015 and December 2019 including a total of 23 patients (mean age 77 ± 9.8 years). The outcomes revealed that in patients with PAD, endovascular intervention prior to surgical fixation resulted in a low complication rate after surgical fixation of fractures below the knee. These outcomes demonstrate the crucial role of limb perfusion for adequate wound healing in lower limb fractures. Thus, assessment of limb perfusion should be an integral part of preoperative preparation of patients at high risk for PAD presenting with fractures below the knee. According to the findings, endovascular recanalization appears to be an appropriate method to prevent wound complications.