Current algorithms for lower limb injuries recommend amputation for most Gustilo type III-C injuries with a limb salvage index score of 6-8 or more. Recent improvements in the timing and technique of microvascular flaps with the reduction in bone healing time as a result of better fixation devices and early bone grafting make the option of limb salvage after such severe injuries a valid and acceptable therapeutic approach. We present a case of severe shot gun injury to the leg with a limb salvage index score of 9 that was successfully salvaged by vascular reconstruction followed three days later with a microvascular osteocutaneous scapular flap anastomosed to the divided limbs of a preliminary arteriovenous fistula that had been constructed at the time of the initial vascular repair. The patient was able to walk unaided one year after the injury.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3109/02844319709008983 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Total femur replacement in revision arthroplasty for non-oncologic patients: a systematic review.
Eur J Orthop Surg Traumatol
March 2025
Department of Orthopaedic Surgery, University of California San Diego, 4150 Regents Park Row, La Jolla, CA, 92037, USA.
Purpose: Revision total joint arthroplasty cases including those complex enough to require limb-salvage procedures are expected to significantly increase. Total femoral replacements represent a limb-preserving procedure with potential utility for these complicated cases. This review seeks to summarize the outcomes of total femoral replacements when used in the revision arthroplasty setting.
View Article and Find Full Text PDFPrevalence Of Popliteal Artery Variants in Free Tissue Transfer for Limb Salvage: A 12-Year Vasculo-Plastic Experience.
J Reconstr Microsurg
March 2025
Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, United States.
Background: Popliteal artery variants (PAVs) are anatomical deviations of the popliteal artery's branching pattern and should be considered in microsurgical planning for patients undergoing lower extremity (LE) free tissue transfer (FTT). However, there is a significant lack of FTT literature in this patient population. Thus, this study presents our 12-year experience with LE FTT in patients with PAV.
View Article and Find Full Text PDFTIVS versus Non-TIVS management of limb vascular injury in limb salvage: systematic review and meta-analysis.
Langenbecks Arch Surg
March 2025
Department of Hand Surgery, Ningbo Sixth Hospital, Zhongshan Road 1059, Ningbo, 315040, China.
Background: To compare the postoperative complications between temporary intravascular shunts (TIVS) and non-TIVS management in limb salvage surgery for severe limb trauma, and to provide reference for clinical decision making.
Methods: The literature on postoperative complications of limb salvage with and without TIVS was searched in PubMed, Cochrane Library, Embase and MEDLINE from January 2000 to December 2023. References were screened and extracted according to inclusion and exclusion criteria, and meta-analysis was performed using RevMan5.
Impact of delayed amputation on clinical outcomes compared to that of early amputation in patients with blunt polytrauma.
Sci Rep
March 2025
Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Republic of Korea.
Delayed amputation after failed limb salvage can lead to negative clinical and functional outcomes due to complications, including re-amputation. This study aimed to compare clinical outcomes and identify risk factors according to the timing of amputation. A retrospective review of lower-extremity injuries managed between January 2016 and December 2022 at a level 1 trauma center was conducted.
View Article and Find Full Text PDFOutcomes of Aortobiiliac versus Aortobifemoral Bypass in Patients with Aortoiliac Occlusive Disease: A National Multi-Institutional Study.
Ann Vasc Surg
March 2025
Center for Learning and Excellence in Vascular and Endovascular Surgery (CLEVER), Department of Surgery, Division of Vascular and Endovascular Surgery, University of California San Diego Health System, San Diego, CA. Electronic address:
Introduction: This study aims to evaluate perioperative and one-year outcomes of patients undergoing aortobiiliac bypass (ABIB) in comparison with aortobifemoral bypass (ABFB) for the treatment of aortoiliac occlusive disease, using data from the Vascular Quality Initiative (VQI).
Methods: All patients undergoing ABIB and ABFB bypasses (2010-2023) were queried. The primary outcome was surgical site infections (SSI).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!