LIMB PRESERVATION & SALVAGE
Every Decision Matters.
BlueOcean Global works with clinicians who treat the most challenging
limb cases—building the frameworks, training, and tools they need to do it well.
an integrated approach to modern limb preservation
A surgical framework that helps clinicians think through staged decision-making and coordinate care across complex limb preservation cases.
A surgical framework that helps clinicians think through staged decision-making and coordinate care across complex limb preservation cases.decision-making and coordinate care across complex limb preservation cases.decision-making and
Limb Preservation & salvage
Practical support for the multidisciplinary teams working to keep complex, at-risk limbs viable through every stage of treatment.
BlueOcean started with a simple, uncomfortable reality: too many limbs are lost because the toolbox runs out. In the sickest patients—diabetes, Charcot, infection, and “no-option” ischemia—surgeons are often forced to choose between compromised solutions and amputation.
FASTR was born from the belief that limb preservation shouldn’t be a heroic outlier. It should be repeatable, scalable, and teachable—with a method that creates durable biology and a system that makes complex reconstruction feel controllable. That required two things working together: a modern circular fixation platform (Excelsior) and a procedural playbook that clinicians could actually execute reliably.
Over three hard years of engineering, iteration, and surgeon feedback, BlueOcean built the Excelsior System and paired it with FASTR—an approach designed to help surgeons do what they already know is possible, but too often can’t operationalize: restore stability, create a pathway for healing, and give patients a real chance at keeping their limb.
When limbs are at risk
just one thing.
Managing skeletal stability, soft tissue, and biologic recovery often has to happen all at once. And the plan you start with often isn’t the plan you finish with.
These cases ask you to think ahead, stay flexible, and adapt as conditions change. BlueOcean was built around that reality—not around an ideal scenario.
Why Blueocean exists
clinical reality.
BlueOcean grew out of conversations with clinicians who were doing everything right—and still watching patients lose limbs that might have been saved with better tools and a better plan.
We set out to build something more complete: training and technique alongside the technology, all grounded in the real challenges these surgeons face every day.
FASTR™ Framework
preservation and function.
FASTR is a clinical methodology that helps physicians work through complex limb cases with greater structure—coordinating stabilization principles, soft-tissue considerations, and staged procedural planning in a way that makes sense for how these cases actually unfold. FASTR is an educational and procedural framework. It’s designed to support clinical decision-making, not replace it. Treatment decisions always rest with the treating physician.
THE EXCELSIOR™ SYSTEM
Ready for the one you get.
The Excelsior System was developed alongside the FASTR framework for cases that require multiplanar stabilization, bone transport, or complex limb preservation strategies—within its cleared indications for use.
It was built with a clear-eyed understanding of what limb preservation actually demands—and designed to give you options when the clinical picture shifts mid-treatment.
the market
Limb Preservation Category.
Patients rarely present with a single problem. Most arrive with a combination of challenges that have to be addressed together.
Bone loss or instability
Infection or septic conditions
Charcot-related deformity
Infection or septic conditions
Soft tissue compromise
Complications from diabetes & impaired healing
Coordinating care across orthopedic, podiatric, vascular, and wound care specialists isn’t optional in these cases—it’s the whole game. BlueOcean sits at the intersection of surgical education, procedural frameworks, and fixation—connecting what surgeons know with the tools and training to put it into practice.
Leadership
deep clinical insight.
Surgeon advisory team
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what you're working on.
Clinical education inquiries/training opportunities.
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Collaboration opportunities.