This Article  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Lewis J. Levien, MD

Arch Surg. 1996;131(10):1108.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The authors are to be congratulated on their success in achieving a remarkable limb salvage rate. The demonstrated relative paucity of locoregional recurrence in the presented series supports their contention that this aspect of disease control is not of major importance in the treatment of this group of patients. The presence of systemic disease at the time of presentation or subsequent systemic recurrence is the factor that will ultimately determine survival. A conservative approach to limb salvage despite bony involvement is therefore to be supported.

I agree entirely with the authors that autologous vein graft remains the graft material of choice for arterial reconstruction below the inguinal ligament, but I continue to use Dacron above the inguinal ligament. I have, however, experienced rapid and extensive deterioration of saphenous vein grafts exposed to large doses of irradiation. For this reason, in cases in which large postoperative doses of radiotherapy are planned, . . . [Full Text PDF of this Article]

Author Affiliations
University of Witwatersrand Johannesburg, South Africa

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?