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On the battlefield, a properly applied tourniquet can be an extremely effective means of controlling severe extremity wound hemorrhage. However, a great deal of confusion exists among soldiers, medics, and military medical officers on a number of tourniquet-related issues. What is an appropriate combat tourniquet? When is it appropriate to use a tourniquet? When and by whom should a tourniquet ...

PURPOSE Use of a composite graft combining a polytetrafluoroethylene graft with an autogenous vein is an option for limb salvage in the absence of an adequate single segment vein graft. We aimed to investigate the results of infrainguinal bypass with a composite graft. MATERIALS AND METHODS We retrospectively reviewed 11 infrainguinal arterial bypasses on 11 limbs which underwent surgery from...

BACKGROUND Isolated limb perfusion (ILP) may provide a limb salvage option for locally advanced soft tissue sarcoma (STS) not amenable to local resection. METHODS A systematic review was performed for studies reporting outcome of ILP for locally advanced STS performed after 1980 in patients aged ≥ 12 years old. The main endpoints were tumour response and limb salvage rates. Complication and r...

Gas gangrene is a necrotic infection of soft tissue associated with high mortality, often necessitating amputation in order to control the infection. Herein we present a case of gas gangrene of the arm in an intravenous drug user with a history of intramuscular injections with normal saline in the shoulder used to provoke pain for recovery after drug induced coma. The patient was early treated ...

Reconstruction options in children after bone tumor resection are as varied as they are challenging. Advances in biologic and endoprosthetic design have led to many choices, all of which must be considered in the context of prognosis, treatment limitations, and patient/family expectations. The current experience and results of limb-sparing surgery following bone sarcoma resection in growing chi...

Prosthetic joint infection (PJI) is where a that has been replaced with an orthopaedic implant becomes infected. PJI given special consideration because of difficulties in treatment and the potential for life- limb-changing sequelae patients. Management requires collaboration between multiple specialists best managed within multidisciplinary team. This article provides overview on diagnosis PJI...

BACKGROUND The treatment options available for extremity sarcomas are amputation or limb-sparing surgery with radiation, which may incur significant morbidity and body disfigurement. Hyperthermic isolated limb perfusion (HILP) may be an attractive option in extremity sarcomas for unresectable lesions to preserve limb function and maintain quality of life. METHODS We report the outcomes of 5 p...

Introduction:Hindquarter amputation or known as hemipelvectomy is a surgical technique that primarily used for the eradication of malignant primary soft tissue and bone tumors pelvis, hip, upper thigh regions. Occasionally, hindquarter has been employed in treatment severe trauma, metastases, infection. This case report aims to give lesson High-Grade Pleomorphic Sarcoma Groin because this very ...