RESUMEN
Past and current military experience has contributed considerably to the advances made in the treatment of extremity vascular injuries. However, the management of arterial injuries of the lower extremity is still associated with significant rates of limb loss and functional deficits. The incidence of civilian arterial limb injuries has increased overtime due to road traffic accidents. The multi-disciplinary approach to the injured patients has produced improved limb-salvage and patient survival. 2-4% of vascular injuries need operative reconstruction. In our series, external fixation has been preferred in all cases. The advantages include requiring less operative time for immobilization, less tissue destruction, less potential for infection in contaminated wounds, and allowing daily debridement and irrigation of the wound in cases of severe soft-tissue injury. In our cases, the anticoagulant treatment was initiated in the emergency room if systemic anticoagulation was not contra-indicated [active hemorrhage, coagulopathy, and cerebral injury]. No patient complained from compartment syndrome and fasciotomy was not necessary. In addition, systemic anticoagulant therapy with low-molecular weight in prophylactic dose was started for 5 days post operative and till mobilization of the patient