The Use of Total Femoral Arthroplasty as a Limb Salvage Procedure

2007 ◽  
Vol 22 (5) ◽  
pp. 663-669 ◽  
Author(s):  
James R. Fountain ◽  
James Dalby-Ball ◽  
F. Adrian Carroll ◽  
Ian Stockley
Keyword(s):  
Limb Salvage ◽  
Salvage Procedure ◽  
Limb Salvage Procedure

scholarly journals Subscapular artery Y-shaped flow-through muscle flap: A novel one-stage limb salvage procedure

2008 ◽  
Vol 48 (1) ◽  
pp. 159-166 ◽  
Author(s):  
Sergueï Malikov ◽  
Pierre-Edouard Magnan ◽  
Pierre Champsaur ◽  
Dominique Casanova ◽  
Alain Branchereau
Keyword(s):  
Limb Salvage ◽  
Muscle Flap ◽  
Salvage Procedure ◽  
One Stage ◽  
Limb Salvage Procedure ◽  
Flow Through

Limb-Salvage Procedure in Two Patients with Spindle Cell Carcinoma of the Lower Extremities using Isolation Perfusion

1985 ◽  
Vol 71 (3) ◽  
pp. 271-275 ◽  
Author(s):  
Maurizio Vaglini ◽  
Salvatore Andreola ◽  
Angelo Attili ◽  
Filiberto Belli ◽  
Raffaele Marolda ◽  
...  
Keyword(s):  
Cell Carcinoma ◽  
Limb Salvage ◽  
Spindle Cell ◽  
Lower Extremities ◽  
Spindle Cell Carcinoma ◽  
Salvage Procedure ◽  
Limb Salvage Procedure

scholarly journals Limb Salvage Procedure for Osteosarcoma using Intraoperative Radiotherapy.

1993 ◽  
Vol 42 (1) ◽  
pp. 387-391
Author(s):  
Toru Hirano ◽  
Katsuro Iwasaki ◽  
Toshiyuki Kumashiro ◽  
Nobuyuki Hayashi
Keyword(s):  
Limb Salvage ◽  
Intraoperative Radiotherapy ◽  
Salvage Procedure ◽  
Limb Salvage Procedure

scholarly journals ENDOPROSTHESIS-RELATED COMPLICATIONS AFTER LIMB-SALVAGE OPERATION OF MALIGNANT BONE TUMORS AROUND THE KNEE

2004 ◽  
Vol 16 (03) ◽  
pp. 133-142 ◽  
Author(s):  
RONG-SEN YANG
Keyword(s):  
Soft Tissue ◽  
Aseptic Loosening ◽  
Limb Salvage ◽  
Activity Level ◽  
Salvage Procedure ◽  
Leg Length ◽  
Salvage Operation ◽  
Limb Salvage Procedure ◽  
Custom Made ◽  
The Common

Endoprosthetic reconstruction using a custom-made metallic megaendoprosthesis is one of the common modalities for the limb salvage operation. The new promising advance of material science, design and fabrication of the endoprosthesis enable an immediate rehabilitation program and provide a durable and functional limb. Thus a successful limb reconstruction is possible in the well-selected patients. In addition to the endoprosthesis-related increased stress, a limited soft tissue support and constraint after limb salvage procedure usually results in an increased incidence of complications, especially in the long term survivors. Some patients may even need revision of the endoprosthesis and, at times, amputation. The complications after oncological endoprosthectic reconstructions usually occur more frequent than the conventional primary total joint arthroplasty. Considering the characteristics of the surgical procedure and the high demands on the implants, such a relatively high frequency of complications is not unexpected. The common complications include wound necrosis, aseptic loosening, fatigue fracture, local osteolysis, joint contracture, dislodgement/dislocation, nerve or vascular injury, rotational deformity, leg length discrepancy, infection, periprosthectic fracture, etc. Some complications are encountered with other modality of limb salvage procedure, whereas the other endoprosthesis-related complications are endoprosthetic-unique and not uncommon. The major causes of such a relatively high endoprosthesis-related complications include (1) extensive excision of soft tissue, leading to change of biomechanical ergonomics, little soft tissue constraints or support for a long replacement segments, and decreased local defense to infection, (2) increased stress on the implants due to higher activity level in the youthful active individuals, relatively narrower medullary canals with less cancellous bone for fixation, (3) special needs for the stability resulting an increased mechanical constraints placed directly within the endoprosthesis, thus raising the local stress transferred to the prosthesis, and to the prosthesis-bone interface, (4) poor immunological, hematological, or nutritional status resulting from chronic oncologic diseases or chemotherapy. It in turn accelerates the wear processes of the components, induces the wear particulate disease and local osteolysis, as well as to cause the aseptic loosening eventually. Early detection and early correction of minor complications has an important role of preventing the major complications, thus reduces the necessity of reoperation, and at times, amputation. We will review these complications in this article.

A biomechanical model for the transmetatarsal amputation

1993 ◽  
Vol 83 (2) ◽  
pp. 82-86 ◽  
Author(s):  
JS Chrzan ◽  
JM Giurini ◽  
JM Hurchik
Keyword(s):  
Limb Salvage ◽  
Energy Efficient ◽  
Biomechanical Model ◽  
Diabetic Patients ◽  
Salvage Procedure ◽  
Review Of The Literature ◽  
Limb Salvage Procedure ◽  
Transmetatarsal Amputation ◽  
Over 40 Years

The transmetatarsal amputation has been performed for over 40 years as a limb salvage procedure, in diabetic patients with nonhealing ulcerations or nonreconstructible ischemia. It is generally believed that the transmetatarsal amputation provides a better walking extremity than a more proximal amputation and is more energy efficient. A review of the literature reveals little regarding the biomechanics of the "short foot." The authors will review the functions of the myofascial structures in both the normal foot and the transmetatarsal amputation and discuss the influence of mechanics on transmetatarsal amputation lesions.

Diabetic Limb Salvage

2002 ◽  
Vol 92 (8) ◽  
pp. 457-462 ◽  
Author(s):  
Chad DeNamur ◽  
Guy Pupp
Keyword(s):  
At Risk ◽  
Lower Extremity ◽  
Limb Salvage ◽  
Retrospective Review ◽  
Diabetic Patients ◽  
Team Approach ◽  
Salvage Procedure ◽  
Knee Amputation ◽  
Below The Knee ◽  
Limb Salvage Procedure

In this retrospective review, 19 diabetic patients with significant lower-extremity pathology were assessed to determine the success of limb salvage in cases of varying complexity. The patients were either scheduled or at risk for below-the-knee amputation before intervention. After the limb-salvage procedure, patients were followed for 4 months to 9 years. Eighteen patients went on to have successful procedures, avoiding below-the-knee amputation; one patient had an above-the-knee amputation. The results demonstrate the benefits of an aggressive team approach with limb salvage as a goal. (J Am Podiatr Med Assoc 92(8): 457-462, 2002)

Ilizarov reconstruction after a failed upper limb salvage procedure in oncology: A case report

2000 ◽  
Vol 9 (2) ◽  
pp. 148-151 ◽  
Author(s):  
Ralph Sakkers ◽  
Johan Lammens ◽  
Peter Reynaert ◽  
Guy Fabry
Keyword(s):  
Case Report ◽  
Limb Salvage ◽  
Upper Limb ◽  
Salvage Procedure ◽  
Limb Salvage Procedure
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