BACKGROUND Pain-related abnormalities of the economy of walking are the most important factor adversely affecting overall physical activity of patients with chronic lower limb ischaemia. These patients are routinely managed conservatively, with the aim of improving pain-free claudication distance. The aim of this study was to examine the impact of HiToP on the functional status of the lower lim...

Gross-dependent lower limb lymphoedema is an unusual condition which can be painful particularly if ulceration occurs. Focused history and clinical examination in addition to appropriate radiological investigation aid in the diagnosis. It is difficult to treat and requires a multidisciplinary team including vascular surgeons, dermatologists and clinical nurse specialists. The primary treatment ...

Abstract Introduction An increasing number of frail older patients are undergoing surgical procedures. Frailty is an independent risk factor for increased hospital stay and adverse postoperative outcomes. This project aimed to assess frailty its management in lower limb critical ischaemia on the vascular ward at Manchester Royal Infirmary. Method A prospective review consecutive admissions admi...

The aim of this study was to present a critical limb ischemia (CLI) case treated with hybrid open–endovascular approach. A 77-year-old female diabetes mellitus and hypertension developed necrotic lesion involving the fourth fifth left toes. Cardiovascular renal function were decent. femoral pulse 3/3, popliteal/tibial pulses absent. diagnostic angiography lower an ipsilateral access performed, ...

Van Nes rotationplasty is a reconstructive and salvage procedure of the lower limb. The technique replaces the amputated thigh and knee with an autologus biological 'prosthesis', the patient's own ipsilateral ankle, which is rotated 180 degrees and fixed at the level of the contralateral knee. This procedure was first adapted by Borggreve of Germany in 1930 to treat a knee joint destroyed by tu...

Berg, H. E., L. Larsson, and P. A. Tesch. Lower limb skeletal muscle function after 6 wk of bed rest. J. Appl. Physiol. 82(1): 182–188, 1997.—Force, electromyographic (EMG) activity, muscle mass, and fiber characteristics were studied in seven healthy men before and after 6 wk of bed rest. Maximum voluntary isometric and concentric knee extensor torque decreased (P , 0.05) uniformly across angu...

One of the principal activities of the members of the Biomechanics Laboratory during the past two decades has been the study of human locomotion . A major objective of these studies has been the accumulation of data that might be used in the design and construction of improved prosthetic and orthotic devices . The investigations have included electromyograms of the phasic action of muscles, for...

We report 12 patients with infiltrating muscular lipomas of the lower limbs all treated by wide resection. During follow-up averaging seven years, the tumour recurred in five patients. Our results and those reported by others suggest that, in order to avoid recurrence, this tumour, although benign, should be treated by total excision of the muscle or by compartmental resection. Hormonal imbalan...