Historically, complex extremity injuries, otherwise known as mangled extremities, have been difficult management problems. This is especially true in multiply-injured patients where many priorities exist and where amputation is considered a failure of limb salvage. Over the past decade, advances in the total management of complex extremity injuries, from the placement of life-saving and limb-sa...

Multilevel revascularization, using a combination of endovascular and open (hybrid) surgery, is increasingly being used. Hybrid surgery allows complex anatomy to be treated by minimally invasive procedures in medically high risk patients. The aim of the present study was to report a novel hybrid surgery for lesions in the multilevel lower extremity arteries and to evaluate the clinical outcomes...

Plasma cell osteomyelitis (PCO) is a rare type of chronic usually affecting metaphysis long bones and characterized by an abundance plasma cells in the lesion with distinct histopathological pattern. It has been reported various age groups, more commonly second to fourth decade life. primary origin mostly non-traumatic cases. characterised quiescent inflammation lesional bone. We are hereby rep...

PURPOSE A variety of predictive factors for the evolution of arterial grafts in patients with critical ischemia have been well defined in clinical studies, including diabetes mellitus, dialytic renal insufficiency, smoking, and distal arterial runoff. The goal of this study was to determine whether patients with critical ischemia undergoing arterial reconstruction in which ischemic lesions appe...

OBJECTIVES To investigate the variables affecting the long-term outcome of infrainguinal vein bypass grafts that have undergone postoperative surveillance. DESIGN A retrospective analysis. PATIENTS AND METHODS Details of 299 consecutive infrainguinal vein grafts performed in 275 patients from a single university hospital were collected and analysed. All grafts underwent postoperative duplex...

INTRODUCTION Management of malignant tumors of the hand and wrist is challenging and is generally approached by limb salvage or amputation. With advances in care, amputation has been superseded by limb salvage as the treatment of choice. METHODS A narrative literature review was performed to identify articles on the topic of management of soft tissue tumors of the upper extremity, including s...

Limb loss is disabling and carries significant functional psychological repercussions to both the individual society. The numbers of amputees are forecasted double by 2050 from vascular disease diabetes alone. Europe has 4.66 million (431,000 amputations per year) United States 2 (185,000 year). Microvascular expertise now more commonplace, increasing likelihood limb salvage replantation. Furth...

Thirteen long Gamma nails were utilized without adjunctive bone cement in 11 patients for stabilization of 12 impending pathologic fractures and 1 pathologic fracture in the setting of metastatic disease (10 femora) and fibrous dysplasia (3 femora) of the proximal femur. Each femur was reamed to 18 mm proximally and 13 mm distally to accept the 17-mm diameter proximal portion and the 11-mm dist...

BACKGROUND To evaluate the pain, quality of life (QOL), and limb function of patients after en bloc resection of solitary metastatic bone cancer in the limbs. MATERIAL/METHODS A total of 27 patients with solitary metastatic bone cancer in the limbs were recruited. All these patients underwent limb-salvage surgery with en bloc resection of the metastatic tumor. Pain and QOL were evaluated befo...