Amputations, endoprosthetic joint replacement, massive bone replacement, other alternatives

2011 ◽  
Author(s):  
William J.S. Aston ◽  
Gordon Blunn ◽  
Timothy W.R. Briggs
Keyword(s):  
Soft Tissue ◽  
Limb Salvage ◽  
Joint Replacement ◽  
Bone Tumour ◽  
Bone Replacement ◽  
Optimal Function ◽  
Endoprosthetic Joint Replacement ◽  
Massive Bone

♦ The aims of the bone tumour surgeon are to improve survival and maintain optimal function of the patient; this can be achieved by amputation or limb salvage♦ Limb salvage provides no greater risk to the survival of the patient than with amputation♦ Reconstruction after removal of the tumour is commonly achieved by using endoprosthetic replacements, autografts, or massive allografts♦ Complications of limb salvage include infection and difficulties associated with soft tissue reattachment and coverage of the bone replacement.

Soft-Tissue Optimization of Limb Salvage With Knee Endoprosthesis

2012 ◽  
Vol 69 (5) ◽  
pp. 560-564 ◽  
Author(s):  
Theresa Y. Wang ◽  
John P. Dormans ◽  
Benjamin Chang
Keyword(s):  
Soft Tissue ◽  
Limb Salvage ◽  
Knee Endoprosthesis

Vascular Reconstruction in Limb Salvage Operations for Soft Tissue Tumors of the Extremities

1996 ◽  
Vol 332 ◽  
pp. 215-222 ◽  
Author(s):  
Akira Kawai ◽  
Hiroyuki Hashizume ◽  
Hajime Inoue ◽  
Hatsuzo Uchida ◽  
Shunji Sano
Keyword(s):  
Soft Tissue ◽  
Limb Salvage ◽  
Vascular Reconstruction ◽  
Soft Tissue Tumors

scholarly journals A case series of flow-through free anterolateral thigh flap to augment the vascularity of ischaemic limbs with soft tissue defect

2016 ◽  
Vol 49 (01) ◽  
pp. 35-41 ◽  
Author(s):  
Aditya Aggarwal ◽  
Hardeep Singh ◽  
Sanjay Mahendru ◽  
Vimalendu Brajesh ◽  
Sukhdeep Singh ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Limb Salvage ◽  
Soft Tissue Defect ◽  
Single Step ◽  
Anterolateral Thigh Flap ◽  
Vascular Repair ◽  
Tissue Defect ◽  
Soft Tissue Cover ◽  
Anterolateral Thigh ◽  
Flow Through

ABSTRACT Introduction: In a world of fast moving vehicles, heavy machinery and industries crush injury to limbs with vascular compromise and soft tissue defect is common. The traditional treatment is a 2 step one dealing with vascular repair and soft tissue cover separately, in the same operation. We report a series of single step vascular repair and soft tissue cover with flow through anterolateral thigh flap (ALT) flap for limb salvage. Materials and Methods: Ten patients with soft tissue defect and vascular injury were included in this study. A two team approach was used to minimise operative time, team one prepared the vessels and team 2 harvested the flap. Observations and Results: Of the ten patients operated (8 males), eight flaps were done for upper limb and two for lower limb salvage. Six anastomosis were done with ulnar vessels, two with radial and two with posterior tibial vessels. Nine extremities could be salvaged while one patient developed progressive thrombosis leading to amputation. Conclusion: The ALT flow-through flap is a versatile single step procedure that can be used to salvage an ischemic limb with soft tissue loss avoiding the need for interpositional vein graft.

Surgical Strategies: Necrotizing Fasciitis of the Foot and Ankle Treated With Dermal Regeneration Matrix for Limb Salvage

2020 ◽  
pp. 107110072095208
Author(s):  
Arvind S. Narayanan ◽  
Kempland C. Walley ◽  
Todd Borenstein ◽  
G. Aman Luther ◽  
J. Benjamin Jackson ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Necrotizing Fasciitis ◽  
Limb Salvage ◽  
Free Flap ◽  
Foot And Ankle ◽  
Level Of Evidence ◽  
Flap Coverage ◽  
Split Thickness Skin Grafting ◽  
Dermal Regeneration

Although necrotizing fasciitis is a life-threatening entity that needs expeditious treatment, cases involving the lower extremity are less commonly encountered than in the upper extremity. Surgical intervention is often required and likely lead to amputation (below-knee or above-knee) vs debridement in the lower extremity. Coverage options in the foot and ankle after serial debridements can present many challenges for limb salvage. Patients are often left with large soft tissue defects requiring coverage with a subsequent increase in relative morbidity. Treatment options for coverage in these cases include negative-pressure wound therapy, split-thickness skin grafting, free flap coverage, or higher-level amputation. In the diabetic population, who present with a lower extremity necrotizing infection, limb salvage is often a challenge given the multiple comorbidities associated with these patients including peripheral vascular disease, immunocompromised state, and neuropathy. Optimal treatment strategies for these necrotizing infections in the foot and ankle remain uncertain. We offer a technique tip for utilization of a dermal regeneration matrix to allow coverage of large soft tissue defect with exposed tendon and/or bone without the need for free flap coverage or higher-level amputation, thus allowing for an additional limb salvage option. Level of Evidence: Level V, expert opinion.

scholarly journals Limb Salvage Procedures for Malignant Soft Tissue Tumors of the Elbow.

1992 ◽  
Vol 40 (4) ◽  
pp. 1728-1731
Author(s):  
Toshiyuki Kumashiro ◽  
Toru Hirano ◽  
Katsuro Iwasaki
Keyword(s):  
Soft Tissue ◽  
Limb Salvage ◽  
Soft Tissue Tumors ◽  
Malignant Soft Tissue Tumors ◽  
Malignant Soft Tissue

scholarly journals Open Fracture of Knee with Massive Bone Defect and Injury of Soft Tissue: A Case Report

2008 ◽  
Vol 57 (4) ◽  
pp. 656-659
Author(s):  
Yosuke Matsumura ◽  
Takao Mae ◽  
Kei Yatsuda ◽  
Hiroshi Nomura ◽  
Kenichi Kawaguchi ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Bone Defect ◽  
Open Fracture ◽  
Massive Bone
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