Inframalleolar Bypass Grafts for Limb Salvage

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...

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...

The role of open bypass surgery for limb salvage in patients with diabetes.

The pathogenesis of foot ulceration in patients with diabe- tes involves the interplay of neuropathy, vasculopathy, and immune dysfunction. Autonomic neuropathy results in loss of pain sensation, decreased sweating, and the development of brittle skin, which pre- disposes these patients to foot trauma. As a result, the traumatized tissue progresses to necrosis and subsequent ulceration. Once an...

Abstract: Coverage of Exposed Lower Extremity Bypass Vascular Graft with Integra and NPWT for Limb Salvage

MATERIALS AND METHODS: We report on our treatment of 6 limbs in 3 patients (age range, 19–36 years). In each case we applied fat graft at the medial side of the limb 150–175 cc. There were minimal deformity (Langenskiöld stage 1), patients had only aesthetic complaint, not pain or osteoartrit.The varus angulation at the tibia was measured and osteoarthritis was evaluated with radiographs.Patien...

High-risk Patients and High-risk Grafts in Infrainguinal Bypass for Critical Limb Ischaemia