Limb-sparing techniques

Limb-sparing techniques, also known as limb-saving or limb-salvage techniques, are performed in order to preserve the look and function of limbs.[1] Limb-sparing techniques are used to preserve limbs affected by trauma, arthritis, cancers such as high-grade bone sarcomas, and vascular conditions such as diabetic foot ulcers.[2] As the techniques for chemotherapy, radiation, and diagnostic modalities improve, there has been a trend toward limb-sparing procedures to avoid amputation,[3] which has been associated with a lower 5-year survival rate[4] and cost-effectiveness[2] compared to limb salvage in the long-run. There are many different types of limb-sparing techniques, including arthrodesis, arthroplasty, endoprosthetic reconstruction, various types of implants, rotationplasty, osseointegration limb replacement, fasciotomy, and revascularization.

  1. ^ "Definition of limb-sparing surgery". NCI Dictionary of Cancer Terms. 2011-02-02. Retrieved 2023-01-17.
  2. ^ a b Kadam, Dinesh (May 2013). "Limb salvage surgery". Indian Journal of Plastic Surgery. 46 (2): 265–274. doi:10.4103/0970-0358.118603. ISSN 0970-0358. PMC 3901908. PMID 24501463.
  3. ^ Kauvar, David S.; Propper, Brandon W. (2022-01-01), Rasmussen, Todd E.; Tai, Nigel R. M. (eds.), "22 - Lower Extremity Vascular Trauma", Rich's Vascular Trauma (Fourth Edition), Philadelphia: Elsevier, pp. 273–287, ISBN 978-0-323-69766-8, retrieved 2023-01-13
  4. ^ Han, Gang; Bi, Wen-Zhi; Xu, Meng; Jia, Jin-Peng; Wang, Yan (2016-04-26). "Amputation Versus Limb-Salvage Surgery in Patients with Osteosarcoma: A Meta-analysis". World Journal of Surgery. 40 (8): 2016–2027. doi:10.1007/s00268-016-3500-7. ISSN 1432-2323. PMID 27116252. S2CID 5737283.