The management of patients presenting with limb-threatening ischemia after lower limb trauma poses particular demands on vascular surgeons. We describe two patients with lower limb arterial occlusions who presented with limb-threatening ischemia 8 years and 3 years after trauma to the lower limb. They were successfully managed by recanalization angioplasty, with a good early clinical outcome after 5 months and 3 months, respectively. Recanalization angioplasty is a useful adjunct in the management of ischemic limbs after trauma.