Limb Preservation & Salvage

When a limb is at risk,
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.

Explore FASTR™ The Excelsior™ System
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An Integrated Approach

Modern limb preservation,
three parts working as one.

A surgical framework that helps clinicians think through staged decision-making and coordinate care across complex limb preservation cases.

A fixation system built alongside the FASTR framework to flex with you as treatment evolves, within its cleared indications for use.

Limb Preservation & Salvage

Practical support for the multidisciplinary teams working to keep complex, at-risk limbs viable through every stage of treatment.

Limb preservation is rarely one procedure. It's a process — one that demands strategy, adaptability, and real collaboration along the way.
When Limbs Are at Risk

Patients rarely need
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

Built from
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.

The Origin

Too many limbs are lost
because the toolbox runs out.

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.

Over three hard years of engineering, iteration, and surgeon feedback, BlueOcean built the Excelsior System and paired it with FASTR—designed to help surgeons restore stability, create a pathway for healing, and give patients a real chance at keeping their limb.

Historical Continuum

Seventy years of
controlled regeneration.

Ilizarov's Discovery1950s – 1980s

Foundational Principles of Controlled Mechanical Stabilization

Gavriil Ilizarov demonstrated that living tissue responds predictably to controlled mechanical tension. Through gradual distraction, bone and surrounding soft tissues could regenerate—establishing the biologic foundation for modern limb reconstruction and deformity correction.

Global Adoption1990s – 2000s

Evolution of Gradual Correction Techniques

Ilizarov principles spread worldwide, enabling complex deformity correction, limb lengthening, and reconstruction. Circular external fixation became a powerful tool for skeletal restoration, though systems were largely designed around bony correction alone.

PRC Advances2000s

Global Refinement of Bone Transport Methodologies

Building on Ilizarov's principles, surgeons in China advanced tibial transverse transport (TTT)—a bone-transport method improving distal limb perfusion in severe ischemic conditions, building a substantial clinical body of experience.

Today2026

Integration into Modern Limb Preservation Workflows

The FASTR™ approach builds upon Ilizarov's foundational concepts within a modern procedural framework designed for both skeletal reconstruction and soft-tissue restoration—making advanced limb salvage more reproducible, teachable, and accessible.

A framework for limb
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.

Built for the procedure you plan.
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.

Download Instructions for Use (IFU)
The Excelsior™ System

Precision engineering
built for real cases.

Every component of the Excelsior System is engineered around the realities of complex limb reconstruction — from soft tissue management to multiplanar bone transport.

Excelsior System — Soft Tissue Interface
Soft Tissue Interface
Excelsior System — Bone Fixation Detail
Bone Fixation Detail
Excelsior System — Fixator Assembly
Fixator Assembly
Excelsior System — Transport Mechanism
Transport Mechanism
The Market

Supporting an emerging
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
Soft tissue compromise
Vascular 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

Operational leadership &
deep clinical insight.

Scott Ludecker

Scott Ludecker

President & Chief Executive Officer

With more than 25 years of experience in the global medical device industry, Scott is a proven industry leader with a demonstrated track record of successfully commercializing disruptive medical technology. Developing new markets and the teams to deliver above-industry growth rates is his passion. He has generated in excess of $1.2 billion in shareholder value through strategic exits. He is a graduate of Kenyon College.

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Stacy S. Miller

Stacy S. Miller

SVP, Human Resources & Operations

Spanning a career of more than 20 years, Stacy has served in senior human resources leadership positions developing and managing policies and programs for high-growth companies. Her experience includes global talent management, recruiting, corporate compliance, M&A, and operations. She is a graduate of Virginia Tech.

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Surgeon Advisory Team

Guided by the surgeons
who do this work.

Michael Theodoulou

Michael Theodoulou

DPM, FACFAS

Cambridge, MA

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Alan Macgill

Alan Macgill

DPM, FACFAS

Boca Raton, FL

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Guido Laporta

Guido Laporta

DPM, MS, FACFAS

Scranton, PA

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Jason Piraino

Jason Piraino

DPM, MS, FACFAS

St Augustine, FL

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Lawrence Lavery

Lawrence Lavery

DPM, MPH

San Antonio, TX

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Dane Wukich

Dane Wukich

MD

Dallas, TX

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Michael Siah

Michael Siah

MD

Dallas, TX

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Michael A. Gentile

Michael A. Gentile

DPM, FACFAS

San Francisco, CA

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Medical Education

Advanced surgical
training for clinicians.

BlueOcean Global is committed to elevating surgical education in limb preservation — offering structured, faculty-led programs that translate FASTR principles into hands-on clinical skill.

One-Day Surgeon Course Fall 2026 — In Planning
FASTR™ Surgical Education Program
Bone Transport Strategies for Limb Preservation
Target DatesOctober – November 2026
LocationNortheast USA (venue TBD)
FormatLecture + Cadaver Laboratory
StatusPlanning in Progress
We are currently in the planning stages for the Fall 2026 FASTR™ Surgical Education Program, targeted for the October–November 2026 timeframe at a venue in the Northeast United States. Confirmed dates, host facility, and full agenda will be posted here as soon as they're finalized — register your interest below to be notified first.
Course Overview

This physician education program focuses on surgical principles and techniques used in bone transport–based reconstruction for complex limb preservation cases involving soft tissue deformity and defect of the lower extremity.

Through scientific lectures and hands-on cadaver training, participants will review structured approaches to staged reconstruction utilizing gradual osseous transport techniques within accepted reconstructive surgical practice.

Educational content emphasizes reconstructive applications including:

  • Bone Transport
  • Management of deformity associated with reconstruction
  • Structural stabilization supporting soft tissue defect management
  • Reconstruction in septic or compromised tissue environments
  • Surgical workflows supporting limb preservation procedures
Intended Audience

Surgeons involved in complex lower extremity reconstruction:

  • Foot & Ankle Surgeons
  • Orthopedic Surgeons
  • Podiatric Surgeons
  • Reconstructive and Limb Preservation Specialists

Recommended for surgeons with experience in reconstructive lower extremity procedures seeking advanced exposure to bone transport–based reconstruction.

Educational Objectives
  • Review principles underlying bone transport reconstruction
  • Review staged reconstructive strategies for deformity and defect
  • Understand structured workflows supporting limb preservation
  • Participate in cadaver-based procedural education
  • Develop reproducible approaches to complex reconstruction cases
Morning
Scientific & Clinical Lectures

Educational sessions addressing planning principles, biologic foundations, and reconstructive decision-making in complex lower extremity cases.

Afternoon
Cadaver Laboratory

Hands-on surgical training focused on bone transport techniques and reproducible reconstructive workflows. Faculty provide real-time operative discussion and technical perspective.

Enrollment is intentionally limited to support direct faculty engagement and hands-on procedural discussion.

Returning Faculty
Guido LaPorta

Guido LaPorta

DPM, MS, FACFAS

Director, Podiatry Residency, Guthrie Lourdes Hospital, Binghamton, NY
Director Emeritus, Dept. of Podiatry, Geisinger CMC

Michael Theodoulou

Michael Theodoulou

DPM, FACFAS

Chief, Foot & Ankle Surgery, Cambridge Health Alliance
Assistant Professor of Surgery, Harvard Medical School

This program provides physician education focused on surgical techniques and reconstructive principles associated with bone transport and limb preservation reconstruction. Clinical decision-making remains the responsibility of the treating physician.

Register Your Interest

Be the first to know.

Our Fall 2026 FASTR™ Surgical Education Program is currently in the planning stages, targeted for the October–November 2026 timeframe at a venue in the Northeast United States. Enrollment will again be intentionally limited to support direct faculty engagement. Use the contact form below to register your interest, and our team will follow up as soon as the date, venue, and full agenda are confirmed.

Register Your Interest
News & Publications

In the field.
In the literature.

Clinical research, peer-reviewed publications, and industry recognition advancing the science of limb preservation.

Press Release · GlobeNewswire

BlueOcean Global Announces FDA 510(k) Clearance of the Excelsior™ External Fixation System

January 26, 2026 Industry Recognition

Six Orthopedic Startups to Track in 2026

BoneZone February 4, 2026 Industry Recognition

Fracture Fixation is Set for New Solutions

BoneZone May 26, 2026 Conference Highlight

BlueOcean Advisory Board Surgeons Bring FASTR™ to the National Diabetes Stage

ADA 2026 Scientific Sessions — New Orleans, LA June 8, 2026 Industry Recognition

10 Companies Entering the Orthopedic Market

OrthoWorld July 13, 2026 Peer-Reviewed

Comparison of Tibial Transverse Transport Angiogenesis Versus Vascular Surgery in Patients with Chronic Limb Threatening Ischemia: A Systematic Review and Meta-Analysis

The International Journal of Lower Extremity Wounds — SAGE 2026 Peer-Reviewed

Tibial Osteodistraction Angiogenesis for Diabetic Foot Ischemia: A Systematic Review and Meta-Analysis

Wound Repair & Regeneration — Wiley 2026 Peer-Reviewed

Tibial cortex transverse transport corticotomy: A case series on a novel approach to limb salvage in the setting of peripheral vascular disease

ScienceDirect 2024 Clinical Education

Novel Modified Adjunct Procedure for Patients with Diabetic Foot Infection and Chronic Limb Threatening Ischemia

HMP Global Learning Network — Podiatry 2024 Video / Webinar

Rethinking the "No Option" Patient: Stabilization, Vascular Support, and the Future of Limb Preservation

HMP Global Learning Network — Vascular 2024
Patient Journey

Behind every case,
a life reclaimed.

Limb preservation is measured in more than clinical outcomes — it's measured in the moments patients get back. Hear directly from a patient about their path through diagnosis, treatment, and recovery.

Connect With BlueOcean

Let's talk about
what you're working on.

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Clinical education inquiries and training opportunities.

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Product information and value analysis inquiries.

Industry & Research

Collaboration opportunities.