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Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

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Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Diabetic Foot Ulcer01:31

Diabetic Foot Ulcer

Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...
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The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular artery,...

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Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
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Published on: June 13, 2025

Lower extremity combat-related amputations.

Scott M Tintle1, Jonathan Agner Forsberg, John J Keeling

  • 1Integrated Department of Orthopaedics and Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD, USA.

Journal of Surgical Orthopaedic Advances
|April 8, 2010
PubMed
Summary
This summary is machine-generated.

Combat surgeons must master amputation techniques for service members injured in Iraq and Afghanistan. Optimizing amputation surgery ensures the best functional outcomes for these young, healthy individuals, aiding their rehabilitation and return to high activity levels.

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Last Updated: Jun 14, 2026

Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
08:11

Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation

Published on: June 13, 2025

Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Military Medicine

Background:

  • Over 1100 major limb amputations in US service members since combat began in Iraq and Afghanistan.
  • Continued military presence necessitates preparedness for severe lower extremity trauma.
  • Blast mechanisms, contamination, and infection complicate combat-related amputations.

Purpose of the Study:

  • To emphasize the critical need for combat surgeons to understand amputation levels and techniques.
  • To highlight the importance of optimal functional outcomes for service members.
  • To guide surgical decision-making for trauma-related amputations.

Main Methods:

  • Review of amputation levels and associated anatomic and technical considerations.
  • Analysis of unique challenges in combat amputations (blast injuries, contamination, infection).
  • Focus on the potential for high-level rehabilitation in young, healthy service members.

Main Results:

  • Understanding specific amputation levels is crucial for functional outcomes.
  • Addressing contamination and infection is key in managing combat trauma.
  • Early and definitive surgical intervention maximizes rehabilitation potential.

Conclusions:

  • Optimal functional outcomes depend on a thorough understanding of amputation techniques.
  • Every effort must be made to perform sound initial and definitive trauma-related amputations.
  • Facilitating the highest possible level of function is paramount for returning service members.