BACKGROUND We reviewed cases of soft-tissue sarcoma of the foot to gain insight into the presentation, treatments and outcomes for this rare disease and to determine whether limb-salvage surgery yields reasonable functional and oncological outcomes. METHODS We reviewed the cases of 16 patients treated by 2 of us (R.T. and M.I.) for soft-tissue sarcoma of the foot over a 15-year period. We ext...

One hundred and seven profundaplasties have been performed for rest pain or gangrene due to advanced arterial degeneration below the inguinal ligament. Local anaesthesia was used for 78 operations. There were 19 early failures (2 deaths and 17 amputations) and 16 later amputations. During 4-5 years of follow-up, 25 other patients have died. The results for diabetic gangrene were worse than for ...

The goal of this study was to determine outcomes related to limb salvage vs. amputation for treating high-grade and localized osteosarcoma in patients with pathological fractures. Literature search was conducted using Medline, Embase and the Cochrane Database. Two reviewers independently assessed all eligible publications. The primary outcome measurement was pooled odds ratio (OR) and 95% confi...

BACKGROUND Although most combat-related amputations occur early for unsalvageable injuries, >15% occur late after reconstructive attempts. Predicting which patients will abandon limb salvage in favor of definitive amputation has not been explored. The purpose of this study was to identify factors contributing to late amputation for type III open tibia fractures sustained in combat. METHODS Op...

OBJECTIVE To share early experience with paediatric patients having undergone skeletal reconstruction after limb salvage surgery. METHODS A reterorespective audit study was conducted at Aga Khan University Hospital, Karachi, from 1994 to 2011 An audit of the institutional tumour registry was done and relevant cases of paediatric patients having undergone skeletal reconstruction after limb sal...

Purpose. We conducted a systematic search of published literature, to assess (i) quality of life (QoL) for survivors of a bone tumour compared with the normal population; (ii) QoL implications following amputation, successful or failed limb salvage; (iii) adaptation of young children to amputation compared with older children or adolescents.Methods. Electronic databases were searched including ...

OBJECTIVE Autogenous vein is the conduit of choice in patients presenting for infrainguinal arterial reconstruction. Venous conduit may be limited because of inadequacy or prior utilization. Our group and others use prosthetics to maximize limb salvage with moderate results. However, in cases where patients present with an isolated popliteal segment that may extend below the knee, we have perfo...

Many surgeons advocate uniform performance of operative completion arteriography after leg bypass surgery to ensure technical success and to optimize shortand intermediate-term graft patency. To determine the impact of this practice on the outcome of reversed-vein bypass surgery and associated patient charges, we reviewed our series of consecutive nonemergent leg bypass procedures. Ninety-three...

Cent Eur J Urol 2013; 66: 487 10.5173/ceju.2013.04.art26 This is an interesting evaluation of a group of extremely complicated patients, who developed non reconstructible bladder outlets either due to injury, trauma or surgical misadventure. In my personal experience, this is one of the most difficult groups of patients to reconstruct and often requires heroic measures to salvage their quality ...

The aim of present study was to a) assess the type and the distribution of peripheral arterial disease in diabetic patients presenting to the Endocrine Clinic. b) Plan revascularization and limb salvage of the affected limbs. During the past one year we evaluated and managed eleven patients of type 2 Diabetes and limb-threatening lower extremity ischemia from the moment of diagnosis to revascul...