No abstract available.
Extremities* ; Limb Salvage* ; Tendons*

No abstract available.
Extremities* ; Limb Salvage* ; Tibia*

No abstract available.
Extremities ; Limb Salvage ; Polytetrafluoroethylene ; Transplants

The small saphenous vein (SSV) is an important graft in limb salvage surgery. It is frequently translocated for bypass surgery. Sometimes, the use of the SSV as an in-situ graft for posterior tibial artery or peroneal artery reconstruction offers the advantages of reduced vein graft injury and improved patency. Recently, saphenous vein mapping through computed tomography (CT) volume rendering technique offers a great quality view to the surgeon. We experienced a patient in whom a CT image with volume rendering technique revealed an aberrant SSV connected with the great saphenous vein at the medial malleolus level. This case indicates that an aberrant SSV may be successfully used as an in-situ conduit for bypass to the dorsalis pedis artery. Here, we present the case of a popliteal-to-dorsalis pedis in-situ vein bypass using a LeMaitre valvulotome (LeMaitre Vascular Inc., USA) under mapping of the aberrant SSV by CT volume rendering technique.
Arteries ; Humans ; Limb Salvage ; Saphenous Vein* ; Tibial Arteries ; Transplants ; Veins

Amputation ; Chronic Limb-Threatening Ischemia ; Fibrinolytic Agents/therapeutic use* ; Humans ; Limb Salvage ; Peripheral Arterial Disease ; Risk Factors ; Singapore ; Treatment Outcome

Phlegmasia cerulea dolens (PCD) is a medical emergency that can lead to venous gangrene of the lower extremity. Early diagnosis and prompt treatment is crucial for limb salvage. There are two treatment options (endovascular or surgical). In the endovascular era, catheter-directed thrombolysis is the treatment of choice to achieve venous outflow. However, surgical thrombectomy is indicated in certain cases. The authors report successful surgical thrombectomy in a 75-year-old man with PCD and review the treatment of PCD.
Aged ; Early Diagnosis ; Emergencies ; Gangrene ; Humans ; Limb Salvage ; Lower Extremity ; Thrombectomy* ; Venous Thrombosis

PURPOSE: To evaluate the effectiveness of percutaneous transluminal angioplasty (PTA) below the knee as a treatment in diabetic foot gangrene. MATERIALS AND METHODS: Between May 2003 and May 2006, angiography was performed in 35 diabetic foot gangrene classified as either Wagner grade IV or V. Infrapopliteal PTA was performed in 10 patients among them. Clinical success was defined as prevention of major amputation. RESULTS: Among 25 patients who did not receive infrapopliteal PTA, the major amputation rate is 22% (in one arterial occlusion cases), 50% (in two arterial occlusion cases), 63% (in three arterial occlusion cases), respectively. Infrapopliteal PTA was successfully performed in 8 among 10 patients. Two patients were failed and undergone below-knee amputation. Toe amputation were performed in 2 patients with one arterial occlusion. Out of 6 patients with three arterial occlusions, toe amputations were performed in 4 patients and the other 2 patients were healed through debridement. CONCLUSION: As a first choice revascularization procedure for limb salvage in diabetic foot gangrene, infrapopliteal PTA can be one of treatment options.
Amputation ; Angiography ; Angioplasty* ; Debridement ; Diabetic Foot ; Gangrene* ; Humans ; Knee ; Limb Salvage ; Toes

PURPOSE: Lumbar sympathectomy has been performed in critical lower limb ischemia patients who have no reconstructable arteries. However, much controversy still persists over the its physiologic & clinical effects. This study was performed to determine the value of lumbar sympathectomy as a treatment modality. METHOD: A consecutive series of 35 patients who underwent lumbar sympathectomy during October 1995 and February 1999 were included in this study, and clinical, angiographic and postoperative results were evaluated. RESULT: The limb salvage rate was obtained in 85.7% (30/35) of the cases. Morbidity was 8.6% (3/35) and there were no mortality. Prevention of major amputation was achieved in a significant percentage of patients who received lumbar sympathectomy. Sympathectomy was carried out in long segment and was confirmed by frozen biopsy intraoperatively. CONCLUSION: Lumbar sympathectomy is a valuable procedure for prevention of major amputation in critical limb ischemia patients who have no reconstructable arteries.
Amputation ; Arteries ; Biopsy ; Extremities* ; Humans ; Ischemia* ; Limb Salvage ; Lower Extremity ; Mortality ; Sympathectomy*

Adolescent ; Female ; Gigantism ; diagnosis ; surgery ; Humans ; Limb Salvage ; methods ; Lipomatosis ; diagnosis ; surgery ; Upper Extremity ; pathology ; surgery

Bone Neoplasms ; pathology ; surgery ; Bone Transplantation ; Extremities ; Humans ; Limb Salvage ; Neoplasm Staging ; Reconstructive Surgical Procedures