Sauvetage de membre : Questions médicales fréquentes
Nom anglais: Limb Salvage
Descriptor UI:D023821
Tree Number:E04.617.350
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"name": "Functional and Oncological Outcome of Patients with Distal Femoral Osteosarcoma Managed by Limb Salvage Using Modular Endoprosthesis.",
"datePublished": "2023-06-05",
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"description": "Comment diagnostiquer une condition nécessitant un sauvetage de membre ?\nQuels examens sont utilisés pour évaluer la circulation sanguine ?\nQuels signes cliniques indiquent un risque de perte de membre ?\nComment évaluer l'infection d'un membre ?\nQuel rôle joue l'imagerie dans le diagnostic ?",
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"description": "Quels sont les symptômes d'une ischémie aiguë ?\nComment reconnaître une infection du membre ?\nQuels symptômes peuvent indiquer une thrombose ?\nQuels signes d'alerte nécessitent une intervention rapide ?\nQuels symptômes sont associés à une neuropathie ?",
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"description": "Comment prévenir les blessures nécessitant un sauvetage de membre ?\nQuels conseils pour les diabétiques pour éviter les complications ?\nComment réduire le risque d'infection après une blessure ?\nQuel rôle joue l'éducation des patients dans la prévention ?\nComment la nutrition influence-t-elle la guérison ?",
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"description": "Quels traitements sont disponibles pour le sauvetage de membre ?\nQuel est le rôle de la chirurgie reconstructive ?\nComment les antibiotiques sont-ils utilisés dans ce contexte ?\nQuelles sont les options de greffe tissulaire ?\nQuel est l'impact de la réhabilitation post-sauvetage ?",
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"description": "Quelles sont les complications possibles après un sauvetage de membre ?\nComment gérer une infection post-opératoire ?\nQuels sont les risques de nécrose tissulaire ?\nComment prévenir les complications thromboemboliques ?\nQuels effets secondaires peuvent survenir avec les antibiotiques ?",
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"name": "Facteurs de risque",
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"description": "Quels facteurs augmentent le risque de perte de membre ?\nComment le tabagisme influence-t-il le sauvetage de membre ?\nQuel impact a l'obésité sur le risque de complications ?\nComment l'âge affecte-t-il le risque de perte de membre ?\nQuels rôles jouent les maladies chroniques dans ce contexte ?",
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"@type": "Question",
"name": "Comment diagnostiquer une condition nécessitant un sauvetage de membre ?",
"position": 1,
"acceptedAnswer": {
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"text": "Un diagnostic repose sur l'examen clinique, l'imagerie et les tests de laboratoire."
}
},
{
"@type": "Question",
"name": "Quels examens sont utilisés pour évaluer la circulation sanguine ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'échographie Doppler et l'angiographie sont couramment utilisés."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent un risque de perte de membre ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleur intense, engourdissement, décoloration et absence de pouls sont des signes d'alerte."
}
},
{
"@type": "Question",
"name": "Comment évaluer l'infection d'un membre ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'évaluation inclut l'examen physique et des cultures microbiologiques."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'imagerie dans le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'imagerie aide à visualiser les lésions osseuses et les tissus mous affectés."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes d'une ischémie aiguë ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent douleur, pâleur, froideur et perte de fonction du membre."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une infection du membre ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Rougeur, chaleur, gonflement et écoulement purulent sont des signes d'infection."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent indiquer une thrombose ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleur, gonflement et sensibilité dans le membre affecté peuvent signaler une thrombose."
}
},
{
"@type": "Question",
"name": "Quels signes d'alerte nécessitent une intervention rapide ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une douleur intense, une perte de sensation ou une décoloration du membre sont alarmants."
}
},
{
"@type": "Question",
"name": "Quels symptômes sont associés à une neuropathie ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Engourdissement, picotements et faiblesse musculaire peuvent indiquer une neuropathie."
}
},
{
"@type": "Question",
"name": "Comment prévenir les blessures nécessitant un sauvetage de membre ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Utiliser des équipements de protection et suivre des protocoles de sécurité est essentiel."
}
},
{
"@type": "Question",
"name": "Quels conseils pour les diabétiques pour éviter les complications ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Contrôler la glycémie, inspecter les pieds et consulter régulièrement un médecin sont cruciaux."
}
},
{
"@type": "Question",
"name": "Comment réduire le risque d'infection après une blessure ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Nettoyer la plaie, appliquer un antiseptique et surveiller les signes d'infection sont importants."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'éducation des patients dans la prévention ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'éducation aide les patients à reconnaître les signes d'alerte et à agir rapidement."
}
},
{
"@type": "Question",
"name": "Comment la nutrition influence-t-elle la guérison ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation équilibrée favorise la guérison et renforce le système immunitaire."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour le sauvetage de membre ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent la chirurgie, la thérapie médicamenteuse et la réhabilitation."
}
},
{
"@type": "Question",
"name": "Quel est le rôle de la chirurgie reconstructive ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie reconstructive vise à restaurer la fonction et l'apparence du membre."
}
},
{
"@type": "Question",
"name": "Comment les antibiotiques sont-ils utilisés dans ce contexte ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antibiotiques sont administrés pour traiter ou prévenir les infections post-opératoires."
}
},
{
"@type": "Question",
"name": "Quelles sont les options de greffe tissulaire ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les greffes de peau ou de tissus mous peuvent être utilisées pour réparer les lésions."
}
},
{
"@type": "Question",
"name": "Quel est l'impact de la réhabilitation post-sauvetage ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "La réhabilitation aide à restaurer la fonction et à améliorer la qualité de vie du patient."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles après un sauvetage de membre ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'infection, la nécrose et la perte de fonction."
}
},
{
"@type": "Question",
"name": "Comment gérer une infection post-opératoire ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un traitement antibiotique et un suivi médical régulier sont nécessaires."
}
},
{
"@type": "Question",
"name": "Quels sont les risques de nécrose tissulaire ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "La nécrose peut survenir en raison d'une circulation sanguine insuffisante ou d'une infection."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications thromboemboliques ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'utilisation d'anticoagulants et la mobilisation précoce aident à prévenir ces complications."
}
},
{
"@type": "Question",
"name": "Quels effets secondaires peuvent survenir avec les antibiotiques ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les effets secondaires incluent des réactions allergiques, des troubles gastro-intestinaux et des résistances."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le risque de perte de membre ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diabète, les maladies vasculaires et les traumatismes augmentent le risque."
}
},
{
"@type": "Question",
"name": "Comment le tabagisme influence-t-il le sauvetage de membre ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le tabagisme réduit la circulation sanguine, augmentant le risque de complications."
}
},
{
"@type": "Question",
"name": "Quel impact a l'obésité sur le risque de complications ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'obésité augmente le risque d'infections et de problèmes de cicatrisation."
}
},
{
"@type": "Question",
"name": "Comment l'âge affecte-t-il le risque de perte de membre ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes âgées ont un risque accru en raison de la fragilité et des comorbidités."
}
},
{
"@type": "Question",
"name": "Quels rôles jouent les maladies chroniques dans ce contexte ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les maladies chroniques comme l'athérosclérose augmentent le risque de perte de membre."
}
}
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The aim of the study was to assess the functional and oncological outcomes of patients with distal femoral osteosarcoma managed by limb salvage using modular endoprosthesis as well as to assess relate...
A total of 82 patients were included in our study. Functional outcome was assessed using MSTS score and knee range of motion. Oncological outcome was assessed regarding local recurrence, chest metasta...
This study showed that patients with osteosarcoma distal femur who are treated by chemotherapy and limb salvage have an excellent long-term prognosis in terms of patient as well as limb survivorship. ...
The purpose of this study was to examine whether the results of a reconstruction using frozen autograft in combination with vascularized fibula are comparable to other reconstructive methods in limb-s...
Between 2008 and 2012, nine patients with bone sarcoma of the tibia underwent excision of the affected segment that was then frozen and reimplanted with an ipsilateral vascularized fibular graft withi...
The mean follow-up was 48.8 months. The mean time to full weight-bearing was 6.2 months and to complete radiological union 6.8 months at the conjunction. One patient required a mid-thigh amputation du...
Combination of a frozen tumor-bearing autograft and ipsilateral pedicled fibula is an effective reconstruction for massive bone defect arising from resection of bone sarcoma in tibia. This approach ha...
Level IV, therapeutic study....
A meta-analysis investigation was executed to measure the outcome of endovascular surgery (ES) and open surgery (OS) for the management of peripheral artery diseases (PADs) on amputation and limb salv...
Three-dimensional (3D)-printed customized implants can be fabricated and utilized for all bones with massive bone defects. The main safety issues with 3D-printed implants made of Ti6Al4V alloy are rel...
Nineteen patients who underwent limb salvage surgery with 3D-printed Ti6Al4V implants were divided into two groups: the serial samples group and the follow-up group. To observe metal distribution and ...
In the serial samples group, the mean baseline titanium concentration was 0.78 µg/L (range, 0.1-2.2 µg/L): 3 patients showed peak concentration before the third postoperative month, while 2 patients s...
Whole blood titanium concentrations were higher after surgery using 3D-printed implants than after that using conventional orthopedic implants, but markedly lower than in patients with implant failure...
Cemented endoprosthetic reconstruction after resection of primary bone sarcomas has been in common use for decades. Although multiple studies have reported the survivorship of primary endoprostheses, ...
(1) What is the implant survivorship free of all-cause revision for primary and revision cemented distal femoral replacements (DFRs) used in the treatment of malignant or benign tumors? (2) What are t...
This was a retrospective, comparative study using our institution's longitudinally-maintained database of 806 cemented endoprostheses starting in 1980 and assessed through December 31, 2018. In all, 3...
The revision DFR cohort had a shorter mean survival to all-cause revision than the primary cohort (mean 10 years [95% CI 7 to 12] versus 18 years [95% CI 15 to 20]; p < 0.001). The most common complic...
Understanding modifiable factors that can improve revision DFR survival is critical to achieving long-term limb salvage for patients with tumors around the knee. Our data suggest that utilizing implan...
Level IV, therapeutic study....
This case report presents the management of a 69-year-old man with an extensive history of peripheral vascular disease including 2 previous failed right femoral to distal bypasses and a left above-the...
The last systematic review on this topic was published in 2008. With advances in surgical techniques, patients with mangled extremities may now be potentially salvageable with comparable outcomes. Thi...
A comprehensive search on PubMed, MEDLINE, Embase, Web of Science, Scopus, CENTRAL and CINAHL was performed from inception to 19 January 2022. The primary outcome was to evaluate clinical and function...
Sixteen studies with 645 patients met inclusion criteria. The methodological quality was moderate based on the MINORS score. The majority were male. Mean age was 36.3 years. There was no significant d...
While patients with primary amputation had better clinical outcomes in the short-term, functional outcomes were not significantly different in both groups. Despite the heterogenicity of the results in...
III....
PROSPERO CRD42022303357....
Secondary interventions strongly improves patency and limb salvage rates in patients undergoing infrainguinal vein bypass. The aim of this study was to evaluate the influence of secondary endovascular...
From January 2018 to December 2019 541 patients in 43 centers have been enrolled into the LIMBSAVE registry (treatment of critical Limb IschaeMia with infragenicular Bypass adopting in situ SAphenous ...
Two groups were homogeneous in terms of demographics and intraprocedural details. Overall mean duration of follow-up was 12.1 months (range 1-24). During the follow-up period (>30 days) 55 endovascula...
Secondary endovascular procedures in patients with CLTI undergoing in situ saphenous infragenicular bypass significantly improve the rates of overall patency and limb salvage in the mid-term period....
During pelvic Sarcoma resections, Surgeons often struggle to obtain negative margins while minimizing collateral damage and maintaining limb function. These complications are usually due to the comple...
This single-center retrospective study (N = 11) presents surgical, functional, and oncological outcomes of patients (average age 14.6 +/- 7.6 years, 4 males) who underwent pelvic sarcoma resections us...
Our results show promising surgical, oncological, and functional outcomes. Using a 3D approach, 90.9% had negative margins, and 63.6% did not require reconstruction surgery. The average estimated bloo...
3D technology enables improved accuracy in tumor resections, allowing for less invasive procedures and tailored reconstruction surgeries, potentially leading to better outcomes in function and morbidi...
This single-center, prospective cohort study aimed to compare the patient-reported outcomes one year after injury between limb salvage and amputation and to elucidate whether amputation contributes to...
We included 47 limbs of 45 patients with severe open fractures of the lower limb and categorized them into limb salvage and amputation groups. Data on patient-reported outcomes one year after injury w...
Of the 47 limbs, 34 limbs of 34 patients were salvaged, and 13 limbs of 11 patients were amputated. Significant differences were noted between the limb salvage and amputation groups in terms of the lo...
As reconstruction technology has advanced and limb salvaging has become possible, the focus of studies should now be based on the perspective of "how the patient feels;" hence, we believe that the res...