Functional salvage of a mangled lower limb using custom-made endoprosthetic replacement
- Resource Type
- Original Paper
- Authors
- Mohammed, Riazuddin; Baloch, Khalid; Peart, Francis; Abudu, Adesegun
- Source
- Strategies in Trauma and Limb Reconstruction. December 2009 4(3):145-149
- Subject
- Mangled extremity
Functional salvage
Endoprosthetic replacement
- Language
- English
- ISSN
- 1828-8936
1828-8928
Functional salvage of a severely injured extremity is a challenge for the patient and the treating surgeon. We report a case of a woman presenting with severely injured lower limb and bone loss, which was managed using a custom-made endoprosthetic replacement for successful functional outcome. Despite being complicated by bone loss, nerve injury and infection; a planned staged surgical treatment and rehabilitation have resulted in satisfactory outcome. At 3-year follow-up, the functional score according to the Musculoskeletal Tumor Society-International Symposium on Limb Salvage System was 70% and the Toronto Extremity Salvage Score was 62%. Endoprosthetic replacements may have a limited role in managing selected patients with mangled extremity and can lead to a good functional outcome to these patients.