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Rotational flap versus long plantar flap for transmetatarsal amputation closure following revascularization.
J Vasc Surg Cases Innov Tech
April 2025
Hospital Universitário Professor Edgard Santos, Federal University of Bahia, Salvador, Bahia, Brazil.
Objective: The integrity of the plantar flap is important for transmetatarsal amputation (TMA) classic closure. However, in ischemic wounds, the plantar flap can be compromised, making the TMA coverage difficult. The aim of this study was to compare the outcomes of rotational vs long plantar flaps for transmetatarsal amputation closure in patients with dysvascular partial foot amputations.
View Article and Find Full Text PDFBelow-knee amputation with an ultrasonic scalpel: evaluation of early postoperative clinical outcomes.
J Wound Care
September 2024
Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, The Catholic University of Korea, College of Medicine, Republic of Korea.
Article Synopsis
- * Researchers reviewed medical records of 41 patients from St. Vincent's Hospital over a period from 2012 to 2021, dividing them into two groups: one using standard methods (group A) and the other using the ultrasonic scalpel (group B).
- * Results showed that the ultrasonic scalpel significantly reduced operation time and blood loss without affecting wound healing time, indicating potential benefits for patients with existing health issues.
Thrombosis in the perforasome in idiopathic purpura fulminans with anti-protein S antibodies: Anatomical and clinical evidence to improve management.
Clin Hemorheol Microcirc
December 2024
Department of Pediatric Oncology and Hematology, CHU de Montpellier, University of Montpellier, Montpellier, France.
Idiopathic purpura fulminans (IPF) is a rare and severe form of purpura fulminans caused by acquired protein S deficiency. It can lead to severe thrombotic complications, such as large skin necrosis and amputation. The lesions almost exclusively affect the lower limbs, and their distribution is similar among patients with IPF, unlike classical purpura fulminans lesions.
View Article and Find Full Text PDF[Fillet flap transfer as alternative to conventional lower limb amputation].
Unfallchirurgie (Heidelb)
September 2024
Klinisches Labor für Bionische Extremitätenrekonstruktion, Universitätsklinik für Plastische, Ästhetische und Rekonstruktive Chirurgie, Medizinische Universität Wien, Wien, Österreich.
Background: The fitting of a prosthesis after lower limb amputation is associated with several challenges. Skeletal stump-prosthesis interfaces and selective nerve transfer can partially overcome these but are also associated with new impairments that emphasize the necessity of innovative approaches. The concept of so-called spare part surgery with the use of fillet flaps could play an important role in this respect.
View Article and Find Full Text PDFImportance of Using Angiography for the Early Detection of Chronic Limb Ischemia in Diabetic Foot Wounds.
Cureus
June 2024
Cardiology, Texas Tech University, Lubbock, USA.
Peripheral artery disease (PAD) affects millions of people worldwide, presenting with varying symptom severity, including chronic total occlusion of arteries, and occasionally, limb amputation. There are various interventions, such as atherectomy and the use of drug-coated balloons and stents, which have been developed to revascularize affected ischemic regions. However, each interventional approach must be individualized due to a patient's unique underlying conditions.
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