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 With advances in care, amputation has been superseded by limb salvage as the treatment of choice.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...

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...

PURPOSE We aimed to evaluate limb salvage, defined as freedom from major amputation, and to identify predictors of major amputation in patients with infrapopliteal peripheral arterial disease (PAD) based on the updated 2015 TASC II anatomic classification treated by percutaneous transluminal angioplasty (PTA). METHODS This was a retrospective study of infrapopliteal PTA procedures performed f...

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...

OBJECTIVES To describe arterial and venous injuries and their management and short-term outcomes in a wartime hospital. DESIGN Retrospective review of patients with vascular injuries. Mechanism, location, method of repair, and outcomes were analyzed with descriptive and inferential statistics. SETTING The 31st Combat Support Hospital, Operation Iraqi Freedom. PATIENTS A total of 153 patie...

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...