Functional and Patient-reported Outcomes following Transmetatarsal Amputation in High-risk Limb Salvage Patients. (Record no. 424)

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
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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
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 07/06/2022   35646494 35646494 07/06/2022 07/06/2022 Journal Article

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