Arterial injuries to the extremities are rare and present a diagnostic and management challenge if limb salvage
is to be successful. In civilian practice, fast and accurate diagnosis is of paramount importance. There should
be immediate referral to a surgeon with the skills to perform vascular repair. A low threshold for early surgical
intervention is important for successful salvage. The responsibility for managing these cases lies jointly with the
orthopaedic surgeon and the team managing the vascular injury.