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This article from the O&P Almanac tells the story of Ashley Holdren, a woman who made the difficult decision to undergo amputation of her right leg below the knee after a car accident and multiple surgeries. Phillip Call, a prosthetist from Virginia Prosthetics & Orthotics, fitted her with a prosthesis to help her return to an active life. Holdren has faced unimaginable trauma, losing her daughter in the accident, but she is determined to move forward and has set goals to return to driving and take dance lessons. The article highlights the transformative impact of prosthetic care and the support of her prosthetist. [Extracted from the article]

A recent study from NOVA Southeastern University examined the use of intravascular ultrasound (IVUS) in vascular and endovascular surgery, specifically focusing on patients with chronic limb threatening ischemia (CLTI). The study found that the combination of IVUS and angiography did not significantly impact clinically driven target lesion revascularization, amputation rates, or all-cause mortality in patients with Rutherford classifications 1-6. However, in patients with CLTI, the use of IVUS and angiography was associated with improved limb salvage outcomes at one year. The research highlights the potential benefits of incorporating IVUS into surgical procedures for certain patient populations. [Extracted from the article]

Researchers from the Department of Thoracic and Vascular Surgery in Marche-En-Famenne, Belgium, conducted a study on diabetic peripheral neuropathy (DPN) in patients with chronic limb-threatening ischemia (CLTI) undergoing primary infrapopliteal angioplasty for foot wounds. The study found that severe DPN negatively impacted the outcomes of angioplasty in terms of patency, tissue healing, and limb preservation, but did not significantly affect overall survival. The researchers concluded that appropriate stratification of DPN is crucial in the treatment of CLTI. This research was published in the Journal of Endovascular Therapy and can be accessed online. [Extracted from the article]

Researchers at Catholic University of Korea conducted a study on below-knee amputation techniques, comparing the use of an ultrasonic scalpel with conventional surgical blades. The study found that using an ultrasonic scalpel resulted in shorter operation times and lower blood loss compared to traditional methods. The research suggests that this technique could improve outcomes for patients undergoing lower limb amputations, particularly those with comorbidities. The study was published in the Journal of Wound Care and adhered to STROBE guidelines. [Extracted from the article]

The patent application titled "Methods and Devices for Improving Bone Healing" addresses the challenges of critical bone defects in both human and veterinary patients, particularly due to cancer and trauma. The application focuses on developing biodegradable scaffolds and sleeves to treat bone defects, aiming to enhance bone regeneration and healing. By utilizing materials like hydroxyapatite and beta-tri-calcium phosphate, researchers are working towards creating load-bearing scaffolds that can address critical-sized bone defects, ultimately improving clinical outcomes and reducing complications in orthopedic surgery. The application also highlights the importance of patient-specific implants and advanced scaffold topologies in achieving successful bone healing. [Extracted from the article]

A recent study conducted at the H. Lee Moffitt Cancer Center and Research Institute in Tampa, Florida, focused on the use of isolated limb infusion (ILI) for treating limb-threatening sarcomas. The study analyzed 61 patients who underwent ILI with melphalan and dactinomycin, showing an overall response rate of 48.3% and a disease control rate of 65%. Responders to ILI had significantly better progression-free survival, overall survival, and disease-specific survival outcomes compared to non-responders. The study concluded that ILI resulted in high limb salvage rates and improved outcomes for patients with limb-threatening sarcomas. [Extracted from the article]

A study conducted at JA Hiroshima General Hospital examined the clinical outcomes of patients with Chronic Limb-Threatening Ischemia (CLTI) due to connective tissue disease who underwent distal bypass surgery. The research found that patients with connective tissue disease had lower 2-year limb salvage and 12-month wound healing rates compared to those with arteriosclerosis. This suggests that distal bypass surgery may be more challenging for patients with connective tissue disease. The study highlights the importance of understanding the impact of different underlying conditions on treatment outcomes in patients with CLTI. [Extracted from the article]

A 17-year-old boy developed adrenal insufficiency while taking gabapentin for pain management and experienced lack of efficacy with vancomycin, rifampicin, and cefepime during antibiotic treatment for osteosarcoma. Despite these complications, he underwent successful implantation of a new prosthesis and received appropriate treatment, including hydrocortisone replacement therapy. The boy eventually recovered and resumed normal activities after follow-up showed no signs of infection or inflammation. [Extracted from the article]

Dr. Gary Driver, a highly trained foot and ankle surgeon, has announced his move to Texas Health Care Bone & Joint Clinic after spending several years at Trinity Foot & Ankle Specialists. He has extensive experience in various areas of foot and ankle surgery, including ankle arthroscopy, total ankle replacement, sports medicine, deformity correction, and minimally invasive bunion surgery. Dr. Driver completed his education and training at reputable institutions, and he has been recognized as one of the "Top Docs" in Fort Worth for foot and ankle surgery. He will now be offering his services at Texas Health Care Bone & Joint Clinic in Fort Worth, Weatherford, and surrounding areas. [Extracted from the article]

A recent study conducted at MedStar Georgetown University Hospital compared patient-reported outcomes following different types of amputation surgeries for chronic lower extremity wounds. The study found that patients who underwent free tissue transfer (FTT), partial foot amputation (PFA), or below-knee amputation (BKA) achieved similar levels of lower extremity function, pain, and quality of life postoperatively. The researchers concluded that patient-centered surgical management, interdisciplinary care, and proper patient selection can optimize postoperative outcomes for patients with chronic lower extremity wounds. The study provides valuable insights for healthcare professionals and patients considering these surgical options. [Extracted from the article]

Columbia University researchers have conducted a study on the use of three-dimensional (3D) technologies in orthoplastic surgery, specifically in the reconstruction of soft tissue defects following sarcoma resection. The study highlights the benefits of 3D planning and manufacturing technologies in improving surgical precision and patient outcomes. These technologies allow for the creation of patient-specific solutions, such as tumor models and cutting guides, which aid in conceptualizing and verifying surgical approaches and serve as blueprints for reconstruction. The implementation of 3D planning techniques in orthoplastic surgery has shown promising results in enhancing postoperative quality of life and reducing associated morbidities. [Extracted from the article]

A recent report from Rome, Italy discusses the management of bone tumors and the importance of a multidisciplinary approach involving oncologists, surgeons, radiologists, pathologists, and rehabilitation specialists. The report focuses on the use of modular prostheses called MUTARS(R) for reconstructing bone defects after tumor resection. The study conducted a comprehensive review of 10 studies and found that MUTARS(R) is an effective treatment option, but there is a lack of evidence regarding functional and rehabilitative outcomes. The researchers emphasize the need for more studies and guidelines to establish standardized rehabilitation protocols for patients undergoing orthopedic oncologic surgery. [Extracted from the article]

A recent study conducted at the Malabar Cancer Center in South India examined the management challenges of foot and ankle sarcomas, which are rare and complex tumors. The study focused on limb preservation rates and oncologic outcomes, as well as surgical complications and functional outcomes. Out of 15 patients, 13 completed the planned treatment, and the limb salvage rate was 76.9%. However, the study found that there were challenges due to histological heterogeneity, delayed presentation and referral, diagnostic errors, unplanned procedures, and reconstructive complications. The survival outcomes in this study were worse than previously reported. [Extracted from the article]

A new report from the Mayo Clinic discusses the use of Deep Venous Arterialization (DVA) as a treatment option for Chronic Limb-Threatening Ischemia (CLTI), a severe form of peripheral arterial disease. The study found that DVA had acceptable short-term outcomes, with good rates of limb salvage and wound healing. However, further research is needed to explore the timing of achieving mobility, quality of life, and cost in comparison to primary amputation with immediate rehabilitation. The study provides valuable insights into the use of DVA for CLTI and highlights areas for future investigation. [Extracted from the article]

A recent study conducted by researchers at Boston University explores the use of midfoot amputations as a means of preserving limbs in cases of forefoot infection, diabetic ulcers, critical limb ischemia, trauma, or malignancy. The study highlights the benefits of midfoot amputations for limb and functional preservation, as well as the lack of a set guideline for determining the level of amputation in patients with critical limb ischemia. The researchers emphasize the importance of a multi-disciplinary approach to limb salvage. The study has been peer-reviewed and published in the Annals of Vascular Surgery. [Extracted from the article]

A report from Rush University Medical Center discusses the findings of research on hemipelvectomy, a limb sparing procedure used to treat malignant bone and soft tissue tumors of the pelvis. The study aimed to investigate the outcomes and complications of periacetabular internal hemipelvectomy (Type II) with or without sacral extension (Type IV). The research found that while overall complication rates were comparable, adding sacroiliac resection increased the risk of neurological complications and resulted in poorer functional scores. The study suggests that compound resections should be approached with caution. [Extracted from the article]

A recent study conducted at the University of California in Orange has explored the use of advanced endovascular techniques in treating patients with peripheral arterial disease and chronic limb-threatening ischemia. The researchers focused on pedal-plantar loop revascularization, a technique that restores arterial inflow in the foot. The study highlights the importance of pedal arch patency in diabetic patients, as it has been associated with improved wound healing, limb salvage, and overall survival. The research provides valuable insights into the inframallelolar arterial anatomy, imaging techniques, and clinical outcomes of pedal artery interventions. The article has been peer-reviewed and is available in the Annals of Vascular Surgery. [Extracted from the article]

A research study conducted at Tanta University in Egypt evaluated the use of arthroscopic ankle fusion as a treatment option for diabetic ankle fractures. The study found that ankle fractures in diabetic patients can be challenging to manage due to underlying comorbidities and compromised soft tissue integrity. The researchers observed positive outcomes in 14 out of 20 patients who underwent arthroscopic ankle fusion, with no cases of limb amputation. The study suggests that arthroscopic-assisted ankle fusion can be a valid primary treatment option for diabetic ankle fractures, reducing the risk of complications and minimizing soft tissue insult. [Extracted from the article]

A recent study conducted at the University of Cincinnati focused on the anatomical variations of the medial plantar artery flap (MPAF) and its potential clinical applications. The researchers examined the branching patterns of the medial plantar artery (MPA) in cadaver feet and recorded various measurements related to its anatomy. The study found that the MPA bifurcated into superficial and deep branches in most specimens, but there were variations observed. The researchers concluded that a better understanding of the anatomy and the use of reliable landmarks could lead to improved outcomes when utilizing the MPAF. This research has been peer-reviewed and published in The Journal of Foot & Ankle Surgery. [Extracted from the article]

A recent study conducted in Japan evaluated the effects of statin therapy on the patency of drug-eluting stents (DESs) and drug-coated stents (DCSs) used to treat femoropopliteal (FP) lesions. The study found that patients treated with statins had significantly better primary patency at two years compared to those not treated with statins. Additionally, the statin group demonstrated superior secondary patency and freedom from major adverse limb events or all-cause mortality. These findings suggest that statins may improve patency in patients undergoing DES and DCS treatment for FP lesions. However, it is important to note that this study has not yet undergone peer review. [Extracted from the article]

A recent study conducted by researchers from the University of Miami Miller School of Medicine compared the outcomes of heart bypass surgeries using cryopreserved cadaveric saphenous vein (CV) and spliced autogenous vein (SV) as conduits for lower extremity revascularization. The study found that CV and SV showed comparable limb salvage up to three years, indicating that SV may be a more durable option with higher patency. However, the difference was not statistically significant in this cohort, likely due to the sample size. This research provides valuable insights for patients who are not eligible for single-segment autologous saphenous vein bypass. [Extracted from the article]

A recent study conducted by researchers at the University of Pittsburgh compared the outcomes of percutaneous mechanical thrombectomy (PT) and open thrombectomy (OT) for acute limb ischemia (ALI). The study analyzed data from the National Inpatient Sample and found that PT was associated with equivalent rates of limb salvage and mortality compared to OT. Although PT had a higher risk of reintervention, most of these interventions were able to avoid open surgery. The study suggests that PT may be a suitable alternative to OT for selected patients. [Extracted from the article]

A large single-center retrospective cohort study conducted at Sun Yat-sen University in Guangzhou, China, examined the outcomes of pediatric patients with lower-limb osteosarcoma. The study found that younger patients had a higher amputation rate and a greater incidence of prosthesis-related complications compared to older patients. The overall survival rate for these patients was 50.3% at 5 years and 37.9% at 15 years. The study highlights the challenges of treating pediatric osteosarcoma and the need for tailored surgical protocols for children of different ages. [Extracted from the article]

A study conducted at Vanderbilt University Medical Center explores the use of a surgical technique called the pedicled nonislanded foot fillet flap to avoid above-the-knee amputation after trauma. Lower extremity trauma can have a significant impact on patients' quality of life, and many undergo multiple procedures in an attempt to salvage their limbs. The study found that the technique was successful in five patients, with all amputation stumps healing without complications. The researchers suggest that this technique is particularly valuable in low-resource settings where prostheses may not be readily available. [Extracted from the article]

A recent report published in the Journal of West African College of Surgeons highlights the use of total femur replacement (TFR) as a salvage procedure for failed distal femur megaprosthesis. The case study focuses on a 59-year-old woman who experienced thigh pain and difficulty walking after undergoing previous knee surgeries. The patient underwent a TFR surgery, which resulted in improved lower extremity function after a 12-month follow-up. The research suggests that TFR can be a viable option for patients with compromised femur and significant bone loss from non-oncological surgeries. [Extracted from the article]

A recent study conducted by researchers at New York University (NYU) Long Island School of Medicine evaluated the reliability and educational quality of YouTube videos related to lower extremity amputation (LEA) versus limb salvage. The study found that the overall reliability and educational quality of these videos was poor. Hospital/university-sponsored videos had higher scores for reliability and educational quality, while videos created by healthcare professionals (non-physicians) had the highest scores for content quality. The study highlights the need for improved patient educational resources on LEA versus limb salvage. [Extracted from the article]

The article focuses on a study from H. Lee Moffitt Cancer Center analyzing the recovery process following limb-salvage surgery for soft-tissue sarcoma. Topics include the typical timeline for functional recovery, factors influencing a delayed recovery such as age and tumor size, and the impact of postoperative complications and tumor recurrence on functional outcomes.

A recent report from the University of California San Francisco (UCSF) highlights the importance of optimal medical therapy in patients undergoing lower extremity bypass for peripheral artery disease (PAD). The researchers emphasize the need for a comprehensive approach to risk factor modification, including the use of high-intensity statins, smoking cessation, and management of hypertension and diabetes. Antiplatelet therapy is also recommended for all patients with chronic limb-threatening ischemia (CLTI), and low-dose anticoagulation may be beneficial. The study underscores the significance of optimal medical therapy in improving outcomes for patients with PAD undergoing lower extremity bypass. [Extracted from the article]

A prospective study conducted at Singapore General Hospital investigated the clinical outcomes of using noncompliant balloons in lower limb angioplasty for chronic limb threatening ischemia (CLTI). The study enrolled 50 patients with CLTI who underwent lower limb angioplasty using a noncompliant balloon catheter. The primary outcomes measured were 30-day freedom from major adverse events, amputation-free survival at 12 months, and freedom from clinically driven target lesion revascularization at 12 months. The study found that the use of a high-pressure, noncompliant balloon was effective in achieving good vessel patency and limb salvage rates with a low complication rate in this challenging group of patients. The researchers believe that these findings can encourage clinicians to consider the use of noncompliant balloons in their patient care. [Extracted from the article]

This article from Cat Watch provides information on osteosarcoma in cats. The most common signs of this type of bone cancer are lameness and swelling. However, these symptoms can also be associated with other health problems like arthritis. To diagnose bone cancer, a veterinarian can perform a physical exam and an X-ray of the affected bone. Treatment options for osteosarcoma in cats include surgery, radiation therapy, and chemotherapy. Palliative care and pain control are also important aspects of the treatment plan. While research on osteosarcoma in cats is limited, advancements in pain control medications for cats are being made. [Extracted from the article]

A 17-year-old girl developed neutropenic fever, acute tubulointerstitial nephritis, and acute kidney injury while undergoing treatment for osteosarcoma with cisplatin, methotrexate, and doxorubicin. She received additional treatment with amphotericin B liposomal for a pulmonary fungal infection. Despite experiencing complications, she completed treatment according to the Euramos-1 protocol and showed stable kidney function four years later. The girl's neutropenic fever was linked to the chemotherapy drugs, while the kidney issues were attributed to cisplatin and amphotericin B liposomal. [Extracted from the article]

A recent study conducted by the University of Pittsburgh Medical Center compared the outcomes of muscle and fasciocutaneous free flaps in acute burn reconstruction. The study found that muscle flaps were associated with higher risks of flap failure, arterial thrombosis, and amputations compared to fasciocutaneous flaps. However, no significant differences were found in venous thrombosis or the need for reinterventions. The researchers concluded that further research is needed to confirm these findings and determine the safety and efficacy of fasciocutaneous free flaps in acute burns. [Extracted from the article]

A recent report from researchers at Baylor University College of Medicine in Houston, Texas discusses the use of guillotine transmetatarsal amputations (gTMA) with staged closure as an alternative treatment for patients with advanced chronic limb-threatening ischemia (CLTI). The study found that gTMA resulted in high limb salvage rates and allowed patients to ambulate early after the procedure. The use of skin substitutes and split thickness skin grafts enhanced wound healing and expedited wound closure. The findings suggest that gTMA may be a viable option for reducing limb loss in high-risk CLTI patients. [Extracted from the article]

A recent report discusses the effectiveness of the Risk Analysis Index (RAI-rev) in predicting adverse outcomes in lower extremity reconstruction surgery. The study analyzed data from 2015-2020 and compared demographics, perioperative factors, and 30-day outcomes in locoregional and free flap cases. The findings showed that higher RAI-rev scores were associated with increased complications in locoregional flaps, such as deep surgical site infection, stroke, and mortality. In contrast, free flap reconstruction patients had generally low RAI-rev scores, suggesting that they are less commonly recommended for higher-risk patients. The study suggests that RAI-rev could serve as a risk calculator in lower extremity reconstruction, aiding in the assessment of candidates for limb salvage versus amputation. [Extracted from the article]

A recent study conducted in Porto, Portugal aimed to validate the prognostic value of the Prevent III (PIII) risk score in patients undergoing aortoiliac revascularization. The study included 130 patients and found that a PIII score of 4 or higher was associated with lower ankle-brachial index changes, longer hospital stays, increased major adverse limb events, and higher all-cause mortality. The researchers concluded that the PIII score is a reliable predictor of long-term limb and mortality risk in patients undergoing these procedures. Further research with larger cohorts and comparisons to other validated scores is recommended. [Extracted from the article]

A study conducted at MedStar Georgetown University Hospital explored the use of flap techniques in preserving limb length in patients with transmetatarsal amputations (TMA). TMA is a common procedure for patients with chronic forefoot wounds, allowing for limb salvage and functional gait without the need for a prosthesis. The study reviewed a retrospective cohort of patients who underwent TMA with flap coverage from 2015-2021. The results showed a 100% flap success rate, an 86.3% limb salvage rate, and 88% of patients were ambulatory. The study concluded that flap reconstruction following TMA is a viable method for preserving limb length and ambulation without a prosthesis. [Extracted from the article]

The article focuses on the research from the University Peruana Cayetano Heredia, which examines the outcomes of bone radiation-induced sarcomas (B-RIS) based on histology and surgical treatment. Topics include the review of 566 patients with B-RIS, including the frequency of different locations and histological types, as well as the outcomes of limb-salvage surgery and amputation, with no significant difference in five-year overall survival rates between the two groups.

ELIAS Animal Health, a clinical stage development company, is planning to conduct a study in collaboration with the University of Missouri to evaluate a new treatment for large-breed dogs with appendicular osteosarcoma. The study will assess the safety and efficacy of ELIAS Cancer Immunotherapy (ECI) in combination with a novel adjuvant as a limb-sparing treatment. The goal is to explore new possibilities for treatments that may not require amputation, providing hope for a better quality of life for dogs diagnosed with osteosarcoma. The study will focus on specific dog breeds, and ECI has shown promising results in previous studies. [Extracted from the article]

A study conducted at Marien Hospital in Wesel, Germany, discusses the use of a hybrid approach in treating acute limb ischemia caused by limb graft occlusion (LGO) after fenestrated endovascular aneurysm repair (FEVAR) and acute bypass graft occlusion. The researchers used the AngioJet Ultra Thrombectomy System in combination with other techniques such as Fogarty thrombectomy, balloon angioplasty, stenting, and local lysis to successfully recanalize the affected limbs. The goal of this treatment strategy is not only to alleviate limb ischemia but also to preserve future options in case of graft failure. The study concludes that this hybrid approach, which combines mechanical thrombectomy with adjunctive techniques, offers a comprehensive solution to acute limb ischemia and represents a valuable addition to the treatments available for graft occlusion following complex endovascular and bypass procedures. [Extracted from the article]

A recent study conducted by investigators at the Medical College of Wisconsin examined the long-term outcomes of survivors of childhood osteosarcoma. The study found that treatment strategies for osteosarcoma between 1970 and 1999 improved 5-year survival rates and continue to be the standard of care today. However, survivors of childhood osteosarcoma were found to have a higher risk of chronic health conditions, including cardiac, musculoskeletal, and hearing issues, compared to their siblings without cancer. The study also found that contemporary osteosarcoma therapy with specific chemotherapy agents and surgical approaches was associated with a high burden of late mortality, chronic health conditions, and limitations in health status. [Extracted from the article]

A recent study conducted at the Second Xiangya Hospital of Central South University in China has explored a new technique for treating osteosarcomas in children. The researchers focused on limb salvage surgery, which aims to preserve limb function while removing malignant tumors. In this case report, the researchers successfully reconstructed the proximal tibia using endoprosthetic replacement with epiphyseal preservation, allowing for the preservation of the knee joint and reducing limb length discrepancy. The patient remained disease-free and exhibited normal limb motor function during the 3.5-year follow-up. The study suggests that this technique could be a viable alternative for retaining function and growth potential in affected limbs. [Extracted from the article]

A recent study conducted at Kyorin University in Tokyo, Japan, has provided new information about bone cancer and the risk of surgical site infection/periprosthetic joint infection in tumor endoprosthesis. The study analyzed data from the Bone and Soft Tissue Tumor Registry in Japan, focusing on cases of malignant bone tumor resection with tumor endoprosthesis reconstruction. The study found that the incidence of surgical site infection/periprosthetic joint infection was 8.2%, with higher rates in cases involving the pelvis and proximal tibia. Risk factors for infection included location, tumor grade, indication of myocutaneous flaps, and delayed wound healing. The study highlights the importance of nationwide registry data for analyzing infection rates in tumor endoprosthesis. [Extracted from the article]

A recent study conducted in Warsaw, Poland, explored the use of reconstructive microsurgery in the treatment of primary malignant bone tumors in pediatric patients. The study involved nine patients who underwent limb-sparing surgery using free fibula flaps combined with bone allografts. The functional outcomes of the procedure were assessed using the Musculoskeletal Tumor Society Scoring System, and the results showed satisfactory functional outcomes with no local recurrences reported during follow-up. The researchers concluded that microvascular reconstructive surgery is an effective method for treating primary bone tumors in the limb location. [Extracted from the article]

A recent study conducted by researchers at the University of Pisa in Italy examined the outcomes of common femoral artery (CFA) endarterectomy, a surgical procedure used to treat CFA occlusive disease. The study found that CFA endarterectomy had excellent primary patency rates in the mid-term period, regardless of the clinical presentation. Additionally, the long-term primary patency rate was about 95%, and the limb salvage rate ranged from 87% to 92%. The researchers concluded that surgical treatment remains the preferred approach for CFA occlusive disease, but an endovascular-first approach may be beneficial for high-risk patients. [Extracted from the article]

A recent study conducted at the First Affiliated Hospital of Guangxi Medical University explored the use of unsupervised machine learning to identify novel subtypes of arteriosclerosis obliterans (ASO) patients undergoing endovascular therapy. The study analyzed clinical data from 448 ASO patients and identified two distinct subgroups with differing clinical features and prognoses. A prediction model was developed using six predictive factors, which achieved excellent discrimination in predicting membership in the identified clusters. The researchers concluded that this approach could support clinical decision-making and risk counseling for ASO patients, but further validation is needed. [Extracted from the article]

A new report from MedStar Georgetown University Hospital discusses a study comparing the use of pedicled local flaps (PFs) versus random pattern flaps (RpFs) in foot and ankle reconstruction for patients with chronic, nonhealing wounds. The study found that PFs were used more often in the hindfoot and wounds containing exposed bone and hardware, while RpFs were used more for forefoot and plantar defects. RpFs had a higher rate of immediate success, while PFs had higher rates of ischemia requiring intervention. Both flap types were found to be reliable options for reconstructing foot and ankle defects, with the choice depending on wound characteristics. [Extracted from the article]

A recent study conducted by researchers at the University of Granada in Spain focused on the musculoskeletal disorders related to upper limb disability in lung cancer survivors one year after lung resection surgery. The study found that patients who underwent lung cancer surgery experienced upper limb impairment and musculoskeletal disorders, which could limit their functionality and quality of life. The research highlights the importance of addressing upper limb impairment in lung cancer survivors to improve their independence and overall well-being. This study provides valuable insights for healthcare professionals and patients dealing with the long-term effects of lung cancer surgery. [Extracted from the article]

Researchers in Chile have published new findings in the field of burn care research. The study focused on the use of microvascular free tissue transfer in primary burn reconstruction. The researchers analyzed data from burn patients admitted to their unit between April 2019 and March 2023. They found that the use of free flaps in acute burn cases was safe and effective, with a low rate of complications and flap loss. This research expands the understanding of burn care and highlights the potential benefits of microsurgery in complex burn cases. [Extracted from the article]

A study conducted at Inova Fairfax Medical Campus in Falls Church, Virginia, examined the outcomes and risk factors associated with minor lower extremity amputations (LEAs). The study compared toe/ray amputations to midfoot amputations and found that the toe/ray group had a higher rate of repeat minor amputations and faster wound healing, while the midfoot group had a higher conversion rate to major amputation. The overall mortality rate was similar between the two groups. The findings of this study can help surgeons make informed decisions about the appropriate level of amputation and provide patients with a better understanding of their chances of wound healing and risk of repeat amputation. [Extracted from the article]

A recent study conducted at Peking University in China has explored the use of microsurgical techniques combined with Ilizarov techniques in the treatment of thermal-crush injuries of the hand. The Ilizarov technology, developed by a former Soviet orthopedic physician, is a method used to reconstruct missing tissues. The study focused on a 25-year-old male patient who had sustained thermal-crush injuries to his right hand and forearm. Through a series of treatments including debridement, tissue transplantation, bone lengthening, and rehabilitation exercises, the patient was able to regain some hand function. The research concluded that microsurgery combined with Ilizarov technology can effectively reconstruct the function of complex thermal-crush injuries of the hand. [Extracted from the article]