Functional salvage of a mangled lower limb using custom-made endoprosthetic replacement

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Functional salvage of a mangled lower limb using custom-made endoprosthetic replacement

Functional salvage of a severely injured extremity is a challenge for the patient and the treating surgeon. We report a case of a woman presenting with severely injured lower limb and bone loss, which was managed using a custom-made endoprosthetic replacement for successful functional outcome. Despite being complicated by bone loss, nerve injury and infection; a planned staged surgical treatmen...

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LATE EMBOLECTOMY FOR LIMB OR KNEE SALVAGE IN ACUTE LOWER LIMB ISCHEMIA: A NEW PROTOCOL

Embolectomy has long been the gold standard for treating limbs acutely threatened by arterial occlusion. Delayed embolectomy has not been investigated adequately due to the belief that accompanying mortality and morbidity render the case futile. Following our previous experience with late arterial repair for leg or knee salvage I we applied the same principle to limbs threatened with prolo...

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The mangled extremity and attempt for limb salvage

BACKGROUND The decision, whether to amputate or reconstruct a mangled extremity remains the subject of extensive debate since multiple factors influence the decision. METHODS Sixty three patients with high energy extremity trauma and attempts at limb salvage were retrospectively reviewed. We analyzed 10 cases of massive extremity trauma where there was made an attempt to salvage limbs, althou...

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LATE ARTERIAL REPAIR FOR LOWER LIMB OR KNEE SALVAGE

The objective of this report is to prove that even after development of ischemic necrosis of the muscles and nerves, we can still save the extremity or the knee and even several days after arterial injury, perform arterial repair and other mentioned procedures. Thus we can retain a functionally satisfactory leg or knee joint, which is far better than classic above-knee amputation and utili...

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Primary amputation vs limb salvage in mangled extremity: a systematic review of the current scoring system

BACKGROUND In the last decades a lot of new reconstructive techniques were developed for the treatment of mangled lower extremity. However failed attempt to limb salvage is related to high risk of mortality for the patient. Several scores were developed to establish guidelines for the decision to amputate or not, however in literature there is no consensus about the reliability of this scores. ...

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ژورنال

عنوان ژورنال: Strategies in Trauma and Limb Reconstruction

سال: 2009

ISSN: 1828-8936,1828-8928

DOI: 10.1007/s11751-009-0068-x