Upper limb salvage involves treatment of traumatic amputations or devascularization proximal to wrist level. Their management differs from that of more distal lesions because of the muscles involved. We want to report our experience of 25 upper limbs salvage (23 revascularizations and 2 replantations). Four times the lesions were situated at shoulder level, 7 times at arm level, and 12 times at forearm level. Even though several patients were referred for completion of the amputation, all the limbs but two were finally saved. The quality of the functional recovery bore no relationship to patient’s age or duration of the ischemia at the time of the accident.