Post-repair arteriogram documents multiple vascular clamp marks (large hollow arrows), patent anastomoses (black arrows), and flow into the anterior tibial artery and tibioperoneal trunk (small hollow arrows). Post-repair arteriogram documents multiple vascular clamp marks (large hollow arrows), patent anastomoses (black arrows), and flow into the anterior tibial artery and tibioperoneal trunk (small hollow arrows). David V Feliciano Trauma Surg Acute Care Open 2018;3:e000215 © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.