BoneFixator.com - Information and products for bone healing, deformity reduction, fracture fixation.
The website contains useful information on long bone anatomy, bone fracture, fracture types, bone healing and fixation methods and devices. Taylor Spatial Frame (TSF)  fixator is covered in great depth. Additionally challenges and solutions to reproducible x-ray taking are discussed.

Can J Surg, Vol. 50, No. 5, October 2007
Peter J.M. Ceponis, PhD;*†‡Denise Chan, MBT;†‡Richard S. Boorman, MD;†‡Carol Hutchison, MD;‡ Nicholas G.H. Mohtadi, MD†‡
Conclusion: This pilot trial suggests that a composite teaching curriculum is at least as effective as a cadaver-based environment for teaching orthopedic surgery residents fundamental knowledge of diagnostic shoulder arthroscopy.

American College of Hyperbaric Medicine The American College of Hyperbaric Medicine supports the treatment of patients with nonapproved indications only in a research setting using a protocol that has been approved by an Institutional Review Board. The ACHM supports the continued performance of well-designed clinical trials in these areas, especially those that are prospective, randomized, controlled trials. If sufficient data demonstrates that HBO therapy is associated with a favorable risk-benefit ratio for an indication which is not currently on the approved list from the Centers for Medicare & Medicaid, the Undersea and Hyperbaric Medical Society or a Commercial Insurance Carrier, the ACHM will endorse the application of hyperbaric therapy for the supported indication. The ACHM does not support the treatment of non-approved conditions for financial gain, without investigational treatment protocols. College members who intentionally mislead the patient or family into believing that hyperbaric therapy is an approved indication or is supported by peer reviewed literature will be dismissed from the College. Acute carbon monoxide intoxication Burns Decompression illness Gas embolism Gas gangrene Acute traumatic peripheral ischemia (when loss of limb function, limb, or life is threatened) Crush injuries and suturing of severed limbs (as in the previous conditions, HBO therapy would be an adjunctive treatment, when loss of function, limb, or life is threatened) Meleney's ulcers Acute peripheral arterial insufficiency ulcers Skin grafts (preparation and preservation of compromised grafts) Chronic refractory osteomyelitis, unresponsive to conventional medical and surgical management Osteoradionecrosis as an adjunct to conventional treatment Soft tissue radionecrosis as an adjunct to conventional treatment Cyanide poisoning Actinomycosis, only as an adjunct to conventional therapy when the disease process is refractory to antibiotics and surgical treatment * Diabetic wounds * Venous stasis ulcers - recommended only if venous surgery, local wounds care, leg elevation, counter pressure support, and skin grafting fails * Decubitus ulcers - with underlying osteomyelitis - a compromised skin flap, or an infected wound * Arterial insufficiency ulcers - which persist after reconstructive surgery has restored large vessel function * Necrotic wounds secondary to brown recluse spider bite * Not in all states

1933 JBJS Article - Full text

The Amputation Surgery Education Center Dedicated to helping surgeons improve technique and patient outcomes.
The ASEC effort is led by Prosthetics Research Study (Seattle, WA) in collaboration with Otto Bock (Minneapolis, MN), the Amputee Coalition of America, the University of Washington Department of Orthopaedics (Seattle, WA), and Harborview Medical Center (Seattle, WA).

O & P Library.
The elective amputation must be considered plastic and reconstructive in nature. The need to create a dynamic and sensory motor end-organ should be foremost in the surgeon's mind in planning an amputation, and is emphasized here once more. The below-knee stump no longer hangs suspended in an open-end socket. The variable degrees of pressure and weight-bearing over the entire stump surface afforded by the total-contact patellar-tendon-bearing prosthesis enhance the surgeon's opportunity to fashion a functional terminal end-organ.

Surgical techniques that fail to anticipate an amputee's functional needs are in part to blame for a disappointing lack of improvement in prosthetic outcomes over the last four decades. Prosthetic outcomes for amputees haven't improved over the past 40 years, according to a new study by a team from the Rochester, MN-based Mayo Clinic. Not only that, but rates of amputation appear primed to double by 2030. Before her team compiled its research, Andrews had believed that 80% of amputees ended up using prosthetic devices successfully. Instead, the proportion was more like 32.4% total, or 47% for below-the-knee amputees and 13% for above-the-knee amputees.

From the Curtin Podiatry Site
1.0 Introduction.
2.0 Incidence.
3.0 Indications.
4.0 Procedures.
5.0 Conclusion.
6.0 References.

Clinical Follow up and survivorship analysis from the Royal Orthopaedic Hospital, Stanmore, UK Full Text JBJS B 69: 2; 276

Full Text of JBJS B 81: 3, 495 Replacement of the proximal humerus in 18 children aged between 6 & 12 after bone tumour resection. The prosthesis allowed lengthening which was performed on 11 patients (mean 3 cms)

External Hemipelvectomy refers to amputation of the innominate bone (ilium, pubis, and ischium), also known as the hemipelvis or os coxae, including the ipsilateral extremity. Other terms synonymous with hemipelvectomy are interilioabdominal amputation, interpelvioabdominal amputation, interiliosacropubic amputation, transiliac amputation, interinnominoabdominal amputation, hindquarter resection or amputation, disarticulation of the innominate bone, and sacroiliac disarticulation. Gordon-Taylor described the procedure as “…one of the most colossal mutilations practiced on the human frame” (Pack 1964). The elective procedure is used for malignancies of the pelvis or proximal thigh when a more conservative procedure cannot achieve adequate margins. Traumatic hemipelvectomies are rare injuries seen in high-energy blunt trauma or accidents involving heavy machinery (Beal 1989). Both traumatic and oncologic hemipelvectomies will be discussed in this chapter, with emphasis on elective hemipelvectomy for oncologic indications. Brian Mullis, M.D. & Gary D. Bos. M.D. Brief Outline: External Hemipelvectomy I. Introduction II. Historical Perspective Elective Hemipelvectomy Traumatic Hemipelvectomy III. Anatomic and Physciologic Considerations Elective Hemipelvectomy Anatomy Traumatic Hemipelvectomy Anatomy Elective Hemipelvectomy Physiology Traumatic Hemipelvectomy Physiology IV. Natural History and Classifications Elective Hemipelvectomy Traumatic Hemipelvectomy V. Diagnosis and Recognition Elective Hemipelvectomy Traumatic Hemipelvectomy VI. Treatment Elective Hemipelvectomy Traumatic Hemipelvectomy VII. Summary Elective Hemipelvectomy Traumatic Hemipelvectomy X. References XI. Patient Education Summary

Abstract Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 11, 1487-1491.
Custom-made intercalary endoprostheses may be used for the reconstruction of diaphyseal defects following the resection of bone tumours. The aim of this study was to determine the survival of intercalary endoprostheses with a lap joint design, and to evaluate the clinical results, complications and functional outcome. We retrospectively reviewed six consecutive patients, three of whom underwent limb salvage with intercalary endoprostheses of the tibia, two of the femur, and one of the humerus. Their mean age was 42 years (28 to 64). The mean follow-up was 21.6 months (9 to 58). The humeral prosthesis required revision at 14 months owing to aseptic loosening. There were no implant-related failures. Musculoskeletal Tumour Society functional outcome scores indicated that patients achieved 90% of premorbid function. Custom intercalary endoprostheses result in reconstructions comparable with, if not better than, those of allografts. Using this design of implant reduces the incidence of early complications and difficulties experienced with previous versions.

Chapter on techniques of amputation

hemiarthroplasty, preoperative preparation, osteotomy, operative technique, fasciotomy, internal fixation, arthroscopy, skin incision, tibial, radial head, acromioplasty, fifth metatarsal, arthroscopic, external fixation, arthroplasty,

Historical account, indications and technique for amputation at various levels