Trasjugular liver biopsy is a safe modality of tissue acquisition in the presence of advanced liver disease, obesity and conditions that preclude percutaneous approach, but not without complications. High volume liver centres experience minor and major complications of this procedure with although with good outcomes in the presence of multimodal approach to salvage. In this short review, we pre...

The Souter-Strathclyde prosthesis was used in 52 evisions of total elbow replacements (TERs) between August 1986 and May 1997. Of these, 50, carried out in 45 patients, were prospectively followed for a mean of 53 months (14 to 139). The procedure produced reliable relief of pain, and the range of movement was preserved. There was a considerable incidence of adverse events associated with revis...

Endovascular interventions are performed routinely with minimal risk in younger populations. The safety and efficacy of endovascular for both frail nonfrail nonagenarians is understudied. We sought to examine whether increased frailty predicted outcomes after lower extremity acute limb ischemia (ALI) chronic limb-threatening (CLTI). A retrospective review all patients aged >90 years who had und...

SUMMARY Posttraumatic upper or lower limb salvage is still challenging. Under difficult situations in which only one vessel supplies the hand or foot, free microvascular reconstruction might damage not only the transferred tissue but also the terminal hand or foot. Two cases of incomplete amputation of the unilateral forearm with large radius bone and soft tissue loss were reconstructed using a...

We assessed the results of 17 limb-salvage procedures using osteoarticular allografts after wide resection of high-grade malignant bone tumours. All patients received chemotherapy. At the five-year follow-up, three patients had died from metastases. The allografts survived for five years in only seven patients all of whom had good function, ranging from 73% to 90% of normal. The allografts were...

We describe the use of a C1 laminar screw in combination with a C2 laminar screw as a salvage technique to treat two patients, one with persistent first intersegmental artery and the other with vertebral artery occlusion after cervical spine fracture. The combined use of C1 and C2 laminar screws allows for good fixation of the atlantoaxial joint with a lower risk of vertebral artery injury; the...

Many surgical stabilization techniques are used for treatment of anterior shoulder instability. Most techniques, either open or arthroscopic, involve reattachment or repair of the anterior glenoid labrum and rely on the integrity of the labrum. We present a novel technique for labral reconstruction for those cases where the labrum is either irreparable or missing. It is particularly useful in r...

The objective of this report is to prove that even after development of ischemic necrosis of the muscles and nerves, we can still save the extremity or the knee and even several days after arterial injury, perform arterial repair and other mentioned procedures. Thus we can retain a functionally satisfactory leg or knee joint, which is far better than classic above-knee amputation and utili...