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Related Experiment Video

Updated: May 4, 2026

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

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Defining orthoplastic limb salvage centers: a systematic review.

Omar Moussa1,2,3, Fernando J Pacheco4,5, Floris V Raasveld4,5,6

  • 1Massachusetts General Hospital, Harvard Medical School, Boston, USA. omsa.moussa@gmail.com.

Archives of Orthopaedic and Trauma Surgery
|May 2, 2026
PubMed
Summary

Orthoplastic limb salvage centers have distinct organizational features compared to vascular centers, indicating a need for standardization. This study identifies benchmarks for developing standardized orthoplastic limb salvage centers.

Keywords:
Healthcare managementLimb salvage centersOrganizational frameworkOrthoplastic surgeryQuality improvementReconstructionSystematic review

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Area of Science:

  • Orthopedics
  • Vascular Surgery
  • Plastic Surgery
  • Health Services Research

Background:

  • Limb salvage centers are increasing but lack standardized criteria.
  • Orthoplastic centers may represent a distinct model of care needing standardization.

Purpose of the Study:

  • To assess organizational features of limb salvage centers.
  • To determine if orthoplastic centers differ from vascular centers and benefit from standardization.

Main Methods:

  • Systematic review of publications from major databases (MEDLINE, Embase, Web of Science, Cochrane) up to 2024.
  • Quantified 26 organizational features across six care domains using a validated quality framework.
  • Identified differentiating features and established a quality framework for orthoplastic centers.

Main Results:

  • Orthoplastic centers more frequently reported plastic surgery consultation, surgical outcomes, and network integration.
  • Vascular centers reported more team features and quality systems, reflecting chronic disease management.
  • Six organizational features characterized orthoplastic centers, providing standardization priorities.

Conclusions:

  • Orthoplastic limb salvage centers exhibit distinct care paradigms.
  • Standardization of orthoplastic limb salvage centers is beneficial.
  • Structural benchmarks are suggested for the development of standardized orthoplastic limb salvage centers.