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...

Some replantation cases require substantial bone shortening for primary closure. Leg-length discrepancy can be restored by lengthening of the replanted or revascularized extremities. Between 1991 and 2000, four patients with four total and two subtotal below-knee amputations had replantation or revascularization for their severely damaged extremities. All of them had extensive debridement, vasc...

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 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...

Endovascular interventions are performed routinely with minimal risk in younger populations. The safety and efficacy of endovascular for both frail nonfrail nonagenarians is understudied. We sought to examine whether increased frailty predicted outcomes after lower extremity acute limb ischemia (ALI) chronic limb-threatening (CLTI). A retrospective review all patients aged >90 years who had und...

PURPOSE Leg threatening injuries present patients and clinicians with a difficult decision: whether to pursue primary amputation or limb salvage? The purpose of our study was to review the literature in an effort to inform this management decision. METHODS We systematically searched and selected observational studies that reported on individuals presenting with leg threatening injuries compar...

PURPOSE To report the 1-year angiographic and clinical outcome from a prospective single-center study investigating the infrapopliteal application of sirolimus-eluting versus bare metal stents in patients with critical limb ischemia (CLI) who underwent below-the-knee endovascular revascularization. METHODS Stenting was performed as a bailout procedure for suboptimal angioplasty results (flow-...

Osteosarcoma is the most common primary malignant bone tumor; its standard treatment includes neoadjuvant chemotherapy combined with surgery. Neoadjuvant chemotherapy has significantly improved the 5-year survival and limb salvage rates in osteosarcoma since the 1870s. The survival rate of patients with limb salvage was not inferior to that of amputees, and therefore, limb salvage has become th...