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Post traumatic lymphedema (PTL) is a known complication of extremity trauma that is detrimental to limb form and function, healing, and quality of life. In cases of complex lower extremity trauma with vascular and extensive soft tissue injury, the risk of PTL is increased. However, many trauma patients are lost to follow-up, making the risk and pot...
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Context 1
... proximal to the ankle, and a final limb volume less than 50 mL from the contralateral limb (4.05% to 2.73% excess volume). At 2-year follow-up, the patient reported complete functional restoration, including standing for long periods and walking without compression garments, did not require further CDT, and was able to wear standard sized shoes (Figs. ...
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... The management of lymphoedema has been transformed by the introduction of CDT, LVA, and super microsurgical vascularised lymph node transfer (VLNT). 8 Our centre is one of its kind in the northern region, focusing on limb preservation. With the right expertise, technology, and comprehensive management, patients with chronic lymphoedema can achieve a better quality of life, breaking the associated stigma through successful management. ...
Lymphoedema is a chronic debilitating condition often perceived as incurable or refractory. It deteriorates the quality of life and can cause severe disability, impacting both the physical and psychosocial health of an individual. With recent advancements in diagnostic and therapeutic tools, its management is evolving. This case report presents a 45-year-old male who reported to our department with a primary complaint of swelling and difficulty while walking. Based upon clinical examination and investigations, the patient was diagnosed with post-traumatic elephantiasis. The patient was successfully treated using a combination of conservative measures, complete decongestive therapy (CDT), lymphatic-venous anastomosis (LVA), and reduction surgeries. The patient’s leg circumference was reduced from 120 cm to 35 cm. Management of lymphatic filariasis has been revolutionised by the introduction of CDT, LVA and super microsurgical vascularised lymph node transfer (VLNT).
