We report on three patients who developed late complications following a penetrating wound of the lower extremities, in which angiographic findings demonstrated an uncommon pseudoaneurysm and large arteriovenous fistula (>10 mm) of the femoral artery. Surgical reconstructions were performed by various techniques, depending on the fistular size and structural change of the femoral artery. Options of surgical technique included lateral suture, patch arterioplasty, autogenous graft, and prosthetic graft interposition. This report presents various techniques of surgical correction for definitive treatment and good results.