Original Article: PDF OnlyROBBS J. V. CH.M. F.R.C.S.; BAKER, L. W. M.Sc., F.R.C.S.The Journal of Trauma: Injury, Infection, and Critical Care: May 1978 Buy Abstract Experience with 105 lower limb arterial injuries in 103 patients in a general hospital is described. The pathology is discussed: it is noted that spasm per se could not be incriminated as a cause of ischemia. Management of the injuries and associated fractures is outlined. A plea is made for use of external fixation in compound injuries. An aggressive approach to the degloved limb, open three-compartment fasiotomy for severe vascular injury with signs of ischemia, and delayed primary closure for wounds with septic complications are recommended. Associated soft-tissue injury requires arterial reconstruction even in the presence of muscle rigor and anesthesia. © Williams & Wilkins 1978. All Rights Reserved.