Background: Recognition of the vascular injury is often obscured by the difficulties of examining the painful, swollen extremity that accompanies bone injury. More often than not, however, it is the failure to assess the status of the distal extremity or to appreciate the significance of a large hematoma, recurrent bleeding and distal ischemia that causes delay in recognition of arterial injury. The aim of this study was to evaluate the limb salvage percentage of lower limb trauma with respect to amputation rate.