Review Question - QID 219190

A 32-year-old female presents after being involved in a high-speed motor vehicle collision. Due to difficult extraction, the patient arrived approximately 2 hours after the traumatic event. It is noted on physical exam that the right thigh has a large 8cm medial open wound with no palpable distal pulses. She is found to have a right femoral shaft fracture with a complete transection of her right superficial femoral artery (SFA) and a left distal femur fracture (Figure A). Additional injuries include a liver laceration and traumatic subdural hematoma. Over the next 4 hours, neurosurgery performs an emergent craniotomy followed immediately by exploratory laparotomy performed by general surgery. Orthopedic surgery is then called to the operating room to complete their necessary procedures. At that time, that patient's lactate remains elevated and has continued transfusion requirements. Both neurosurgery and general surgery note her overall guarded prognosis. Which of the following serves as the most appropriate intervention for her orthopedic injuries at that time?