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Abdel Rahim Elniel Leeds Teaching Hospitals Trust, UK

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Peter V. Giannoudis Academic Department of Trauma and Orthopaedics, Leeds Teaching Hospitals, University of Leeds, UK; NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, UK

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and burning sensations. Amputation Primary amputation may be considered in cases of uncontrollable haemorrhage, prolonged crush injury, an avascular limb or segmental bone/muscle loss. The decision is not taken lightly and should be discussed

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E. Mascard Necker University Hospital, 75015 Paris, France.

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N. Gaspar Department of Pediatrics, Institute Gustave Roussy, 94805 Villejuif, France

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L. Brugières Department of Pediatrics, Institute Gustave Roussy, 94805 Villejuif, France

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C. Glorion Orthopedic Surgery Department, Necker University Hospital, 149 rue de Sèvres, 75015 Paris, France

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S. Pannier Orthopedic Surgery Department, Necker University Hospital, 149 rue de Sèvres, 75015 Paris, France

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A. Gomez-Brouchet Laboratoire d'anatomie et cytologie pathologiques, Institut Universitaire du Cancer de Toulouse- Oncopole, 1 avenue Irène Joliot-Curie. 31059 Toulouse Cedex 9, France

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national survey . Bone Joint J 2015 ; 97-B : 1284 - 1290 . 35 Aksnes LH , Bauer HC , Jebsen NL , et al. . Limb-sparing surgery preserves more function than amputation: a Scandinavian sarcoma group study of 118 patients

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Valeria Pintar St George’s Hospital, London, UK

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Charlotte Brookes St George’s Hospital, London, UK

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Alex Trompeter St George’s Hospital, London, UK
St George’s University of London, UK

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Anna Bridgens St George’s Hospital, London, UK

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Caroline Hing St George’s Hospital, London, UK
St George’s University of London, UK

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Yael Gelfer St George’s Hospital, London, UK
St George’s University of London, UK

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limb tourniquets were used, but the tourniquet on the primary leg was inadvertently left inflated when the contralateral leg was being operated on, with catastrophic consequence. The child later underwent limb amputation for the severe ischaemic injury

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Andrea Angelini Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Ivan Bohacek Department of Orthopaedic Surgery, University Hospital Centre Zagreb, School of Medicine, University of Zagreb, Salata, Zagreb, Croatia

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Mihovil Plecko Department of Orthopaedic Surgery, University Hospital Centre Zagreb, School of Medicine, University of Zagreb, Salata, Zagreb, Croatia

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Carlo Biz Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Giulia Trovarelli Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Mariachiara Cerchiaro Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Giuseppe Di Rubbo Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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Pietro Ruggieri Department of Orthopedics and Traumatology and Oncological Orthopedics, University of Padova, Italy

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surgery to become a feasible treatment option in a larger number of patients ( 9 , 10 ). Li et al . reported no survival benefits of amputation in comparison to limb salvage surgery for osteosarcomas ( 11 ). Therefore, distal fibular resection became the

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Önder İ. Kılıçoğlu Department of Orthopaedics and Traumatology, İstanbul University, Istanbul Faculty of Medicine, Turkey

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Mehmet Demirel Department of Orthopaedics and Traumatology, İstanbul University, Istanbul Faculty of Medicine, Turkey

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Şamil Aktaş Department of Underwater and Hyperbaric Medicine, İstanbul University, Istanbul Faculty of Medicine, Turkey

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amputation rates of DFUs. 5 Meticulous glycaemic control is the primary and only proven method to reduce or prevent all diabetes-related complications. 6 Home monitoring of daily foot temperatures has been proposed as an effective method for

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Haroon Majeed Manchester University Foundation NHS Trust, Manchester, UK

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diseases 15 3,054,665 Damage to limbs Joint damage 504 71,704,879 Fractures 638 47,953,690 Dislocation 84 9,711,346 Amputation lower 216 114,787,500 Amputation upper 49 9,421,787 Tissue

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Sohail Yousaf Kingston Hospital NHS Foundation Trust, UK
University of Brighton, UK

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Edward J.C. Dawe Western Sussex Hospitals NHS Foundation Trust, UK
Brighton and Sussex Medical Schools, UK

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Alan Saleh Kingston Hospital NHS Foundation Trust, UK

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Ian R. Gill Kingston Hospital NHS Foundation Trust, UK

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Alex Wee Frimley Health NHS Foundation Trust, UK

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26. Baillie C Rahman S Youssief A Khaleel A Bargery C . Multidisciplinary approach to the management of diabetic foot complications: impact on hospital admissions, limb salvage and amputation rates

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Maria A. Smolle Department of Orthopaedics and Trauma, Medical University of Graz, Austria

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Dimosthenis Andreou Department of General Orthopaedics and Tumour Orthopaedics, University Hospital Muenster, Germany

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Per-Ulf Tunn Tumour Orthopaedics, HELIOS Klinikum Berlin-Buch, Germany

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Andreas Leithner Department of Orthopaedics and Trauma, Medical University of Graz, Austria

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PTTF retrospectively included – mean follow up of 5.3 years, with an implant, limb and prosthesis survival of 90%, 100% and 80%, respectively – four failures occurred (two infections, two mechanical failures) –> one amputation for infected prosthesis

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Maria Anna Smolle Medical University of Graz, Austria

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Dimosthenis Andreou Münster University Hospital, Germany

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Per-Ulf Tunn Sarcoma Center Berlin-Brandenburg, HELIOS Klinikum Berlin-Buch, Germany

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Joanna Szkandera Medical University of Graz, Austria

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Bernadette Liegl-Atzwanger Medical University of Graz, Austria

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Andreas Leithner Medical University of Graz, Austria

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high-grade STS is surgery, complemented by radiotherapy (RTX) and in selected cases chemotherapy (CTX). Surgery Over the last 30 years, amputation has progressively become less important and has been mostly replaced by limb-sparing procedures in

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Volkmar Jansson Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Campus Grosshadern, Munich, Germany

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Alexander Grimberg German Arthroplasty Registry (EPRD Deutsche Endoprothesenregister gGmbH), Berlin, Germany

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Oliver Melsheimer German Arthroplasty Registry (EPRD Deutsche Endoprothesenregister gGmbH), Berlin, Germany

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Carsten Perka Charité Center for Orthopedics and Trauma Surgery, Charité University Hospital, Berlin, Germany

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Arnd Steinbrück Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Campus Grosshadern, Munich, Germany
German Arthroplasty Registry (EPRD Deutsche Endoprothesenregister gGmbH), Berlin, Germany

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subpopulation is taken into account in the evaluation of the revision rate. Implant survival status is concluded with the death of the patient or amputation of the affected lower limb, so these events will be regarded as being ‘censored’ and excluded from

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