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A Combined "Vasculoplastic" Approach to the Vasculopathic Patient Undergoing Limb Salvage: Understanding the Role of Endovascular Revascularization for Lower Extremity Free Tissue Transfer.
J Reconstr Microsurg
December 2024
Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia.
Background: Multidisciplinary care with vascular surgery and plastic surgery is essential for lower extremity free flap (LEFF) success in the chronic wound population with diabetes and peripheral vascular disease. There is a lack of understanding on performing targeted direct endovascular reperfusion on a vessel that will be used as the flap recipient. Our study compares outcomes of patients who received targeted revascularization (TR) to the recipient vessel for LEFF anastomosis versus nontargeted revascularization (NR) of arterial recipients prior to LEFF.
View Article and Find Full Text PDFEnterococcus hirae Bacteremia Associated With Traumatic Soft Tissue Infection: A Case Report.
Cureus
November 2024
Department of Intensive Care Medicine, Centro Hospitalar Universitário de São João, Porto, PRT.
In recent years, reports of infections in humans have increased. Similarly to most known Enterococci, has been identified mostly in bacteremia, urinary tract infections, infective endocarditis, and biliary tract infections. We present a case of bacteriemia associated with traumatic soft tissue infection in a 77-year-old male patient, a polytrauma victim with a tibia-fibula open fracture after a forklift accident.
View Article and Find Full Text PDFUse of infrared thermography in patients undergoing primary amputation due to peripheral arterial obstructive disease.
Rev Col Bras Cir
November 2024
- Universidade Federal de Pernambuco, Programa de Pós Graduação em Cirurgia - Recife - PE - Brasil.
Introduction: Peripheral Arterial Disease (PAD) is highly prevalent and the final stage of the disease is the Critical Ischemia (CI) of the Lower Limbs (LL), culminating, in most cases, with amputation of the limbs as part of the proposed treatment. Infrared Thermography (IT) is an inexpensive method, painless, without emission of radiation and easy to manage, which aims to determine the temperature of the skin of the limb to be amputated, and could help the surgeon to evaluate the level of the lower limb amputation.
Objective: To Evaluate Whether IT is a useful method to determine the level of lower limb amputation in patients with PAD and CI.
What is the Optimal Treatment Protocol for Traumatic Popliteal Artery Injury? A Comparative Study between Two Institutions.
J Emerg Trauma Shock
September 2024
Department of Orthopaedic Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.
Article Synopsis
- Popliteal artery injury, although rare, can lead to severe complications like limb ischemia and potential amputation, prompting the need for effective treatment strategies.
- The study analyzed patient records from two hospitals between 2011 and 2022, comparing treatment outcomes, particularly focusing on the time to reperfusion and types of interventions used for popliteal artery injuries.
- Results indicated that the hospital using temporary vascular shunting had significantly shorter reperfusion times and better clinical outcomes, suggesting the importance of prompt diagnosis and systematic treatment protocols.
[Translated article] Reamputation prevalence after minor feet amputations in patients with diabetic foot: A cross sectional study.
Rev Esp Cir Ortop Traumatol
November 2024
Departamento de Ortopedia de Pie y Tobillo, Clínica del Country, Bogotá, Colombia.
Introduction: Reported prevalence for reamputation in diabetic foot is diverse, risk factors are not clear for minor amputations. This study aims to determine the prevalence for reamputation in diabetic foot from minor amputations and to evaluate associated factors for such outcome.
Methods: Cross sectional study developed in 2 hospitals.
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