A) Radiograph showing virtual dismemberment at mid-femoral level. Gap in soft tissues between arrows. B) Javid shunt bridging lengthy gap in femoral artery and perfusing distal limb; another shunt bridging adjoining femoral vein and draining the limb. Ends of a fractured femur (XX) being manipulated prior to fixation. (A) and (B) Reproduced from Barros D’Sa, A.A.B. and Moorehead, R.J. (1989). The rationale for arterial and venous shunting in the management of limb vascular injuries. European Journal of Vascular Surgery,  3, 577–81. C) Angiogram many years later showing a healed fracture, an intramedullary nail, and a patent graft.