Vascular trauma.

Experience with vascular trauma over a nine month period is presented. Not all cases of arterial injury are obvious on initial presentation. Preoperative arteriography may be helpful but should not delay arterial reconstruction. Fractures should be established prior to arterial repair. Intra-operative arteriography may be useful, and fasciotomy should be used liberally in all cases of established ischaemia. Serious associated injuries are common and may determine the ultimate outcome.