MARC details
000 -LEADER |
fixed length control field |
03524nam a22004097a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
220706s20222022 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
2169-7574 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1097/GOX.0000000000004350 [doi] |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
PMC9132523 [pmc] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
35646494 |
245 ## - TITLE STATEMENT |
Title |
Functional and Patient-reported Outcomes following Transmetatarsal Amputation in High-risk Limb Salvage Patients. |
251 ## - Source |
Source |
Plastic and Reconstructive Surgery - Global Open. 10(5):e4350, 2022 May. |
252 ## - Abbreviated Source |
Abbreviated source |
Plast. reconstr. surg., Glob. open. 10(5):e4350, 2022 May. |
253 ## - Journal Name |
Journal name |
Plastic and reconstructive surgery. Global open |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2022 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2022 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Publication date |
2022 May |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
epublish |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Medline status |
PubMed-not-MEDLINE |
266 ## - Date added to catalog |
Date added to catalog |
2022-07-06 |
520 ## - SUMMARY, ETC. |
Abstract |
Background: Transmetatarsal amputation (TMA) is performed in patients with nonhealing wounds of the forefoot. Compared with below-knee amputations, healing after TMA is less reliable, and often leads to subsequent higher-level amputation. The aim of this study was to evaluate the functional and patient-reported outcomes of TMA. |
520 ## - SUMMARY, ETC. |
Abstract |
Conclusions: TMA healing remains variable, and many patients will eventually require a secondary proximal amputation. Multi-institutional studies are warranted to identify perioperative risk factors for higher-level amputation and to further evaluate patient-reported outcomes. Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. |
520 ## - SUMMARY, ETC. |
Abstract |
Methods: A retrospective review of patients who underwent TMA from 2013 to 2021 at our limb-salvage center was conducted. Primary outcomes included postoperative complications, secondary proximal lower extremity amputation, ambulatory status, and mortality. Univariate and multivariate analyses were performed to evaluate independent risk factors for higher-level amputation after TMA. Patient-reported outcome measures for functionality and pain were also obtained. |
520 ## - SUMMARY, ETC. |
Abstract |
Results: A total of 146 patients were identified. TMA success was achieved in 105 patients (72%), and 41 patients (28%) required higher-level amputation (Lisfranc: 31.7%, Chopart: 22.0%, below-knee amputations: 43.9%). There was a higher incidence of postoperative infection in patients who subsequently required proximal amputation (39.0 versus 9.5%, P < 0.001). At mean follow-up duration of 23.2 months (range, 0.7-97.6 months), limb salvage was achieved in 128 patients (87.7%) and 83% of patients (n = 121) were ambulatory. Patient-reported outcomes for functionality corresponded to a mean maximal function of 58.9%. Pain survey revealed that TMA failure patients had a significantly higher pain rating compared with TMA success patients (P = 0.016). |
546 ## - LANGUAGE NOTE |
Language note |
English |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION |
Department |
MedStar General Surgery Residency |
656 ## - INDEX TERM--OCCUPATION |
Department |
MedStar Georgetown University Hospital/MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION |
Department |
Surgery/Podiatric Surgery |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Deldar, Romina |
Institution Code |
MedStar Georgetown University Hospital/MedStar Washington Hospital Center |
Program |
MedStar General Surgery Residency |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Steinberg, John S |
790 ## - Authors |
All authors |
Attinger CE, Atves JN, Cach G, Deldar R, Evans KK, Kim E, Sayyed AA, Steinberg JS, Truong BN |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1097/GOX.0000000000004350">https://dx.doi.org/10.1097/GOX.0000000000004350</a> |
Public note |
https://dx.doi.org/10.1097/GOX.0000000000004350 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |