[Arterial injuries].

During the years 1963-87, 57 patients were treated for arterial injuries. Iatrogenic injuries are excluded. 60% were due to accidents and only 12% to interpersonal violence. Three patients died from the injuries, eight extremities required a primary amputation, eight patients got sequela related to orthopedic problems or ischemia, and 35 patients achieved complete restitution of function. 53% of the injuries were due to fractures, dislocations or contusions while 21% were caused by penetrating lesions. The most common lesion was an intimal rupture with dissection and thrombosis in an otherwise intact vessel (40%). The most frequently applied technique of reconstruction was longitudinal arteriotomy with thrombendarterectomy and patch plasty. Other arteries were repaired by direct suture, interposition of a suitable graft or by a bypass. Fasciotomies were based on liberal indications. A high degree of diagnostic alertness is necessary if irreparable ischemic damage is to be avoided.