الفهرس 
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Abstract
Aim of the work
To evaluate the cases admitted in EL-Minia university with severe extremity limb trauma between January 2003 and October 2005. as regard:
1- Anatomical point.
2- Pathological point.
3- Investigation.
4- Procedure of repair.
5- Post operative complication.
6- Outcome.
Summary
In this study we found that the most common cause of arterial injuries in the penetrating (60%) trauma where stab is the commonest cause (34.5%), while plunt trauma represent (35%) of patients.
Lower limb is the common site of arterial injuries which represent (60%), where formal artery is most common (30%). Upper limb represent (40%) where Radioulnar is most common and represent (19.5%).
We followed the advanced Trauma Life Support (ALTS) protocol for the management of injuried patients. Thus, care of the patient with an injured started at the scene of the injury, especially if there was an associated vascular injury. Penetrating injuries might result in life-threatening hemorrhage that must be controlled. Control was achieved by simple compression over the site. This prevented continued hemorrhage in most situations and allowed the collateral circulation to maintain limb viability. Tourniquets were avoided unless there was no other means to control bleeding. Tourniquet-related irreversible ischemia is the primary cause for amputation in the injured limb.
The most common procedure used is the graft (54%) where autologus saphenous vein (ASV) represent the graft of choice for arterial reconstruction followed by ligation (27%). Primary repair was used in (14%) where end-to-end anastomosis was the most common method used (71.4%).