Risks Factors Associated With Major Lower Extremity Amputation After Vertical Contour Calcanectomy. (Record no. 735)

MARC details
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fixed length control field 03145nam a22003857a 4500
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fixed length control field 220222s20222022 xxu||||| |||| 00| 0 eng d
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1053/j.jfas.2022.01.013 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S1067-2516(22)00015-1 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 35168902
245 ## - TITLE STATEMENT
Title Risks Factors Associated With Major Lower Extremity Amputation After Vertical Contour Calcanectomy.
251 ## - Source
Source Journal of Foot & Ankle Surgery. 2022 Jan 19
252 ## - Abbreviated Source
Abbreviated source J Foot Ankle Surg. 2022 Jan 19
253 ## - Journal Name
Journal name The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
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Manufacturer FY2022
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Publication date 2022 Jan 19
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2022-02-22
501 ## - WITH NOTE
Local holdings Available online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007
520 ## - SUMMARY, ETC.
Abstract The primary aim of the study is to determine risks for major lower extremity amputation after undergoing Vertical Contour Calcanectomy. Subanalysis was performed comparing patients who underwent Vertical Contour Calcanectomy who were fully ambulatory to those who were partially or nonambulatory postoperatively. Within the cohort of 63 patients included in the Vertical Contour Calcanectomy 85.71% (54/63) of patients had diabetes mellitus, 53.97% (34/63) had peripheral arterial disease, and 19.05% (12/63) had Charcot Neuroarthropathy. Multivariate logistic regression, found that (1) patients that underwent primary closure at the time of the Vertical Contour Calcanectomy, were 79.9% more likely (odds ratio [OR] 0.20; 95% confidence interval [CI] 0.04-0.96) to have limb salvage and that (2) female patients were 85.4% less likely compared to male patients (OR 0.15; 95% CI 0.02-0.99) to undergo major lower extremity amputation. Patients with coronary artery disease were 5.2 times more likely (OR 5.18; 95% CI 1.120-23.94) and patients that were nonambulatory preoperatively, were 10.3 times more likely (OR 10.28; 95% CI 1.60-66.26), to be partially or nonambulatory after Vertical Contour Calcanectomy. Primary closure at time of Vertical Contour Calcanectomy significantly decreases the risk of major lower extremity amputation, and diminished preoperative ambulatory status as well as coronary artery disease makes it less likely that patients return to full ambulation after Vertical Contour Calcanectomy. Copyright (c) 2022 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
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Institution MedStar Washington Hospital Center
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Department Podiatric Surgery Residency
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Department Surgery/Podiatric Surgery
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Medline publication type Journal Article
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Local Authors Cook, Helene
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Local Authors Steinberg, John S
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Local Authors Tefera, Eshetu
790 ## - Authors
All authors Attinger CE, Cates NK, Cook HR, Delijani K, Kennedy CJ, Kim PJ, Popovsky D, Steinberg JS, Tefera E
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1053/j.jfas.2022.01.013">https://dx.doi.org/10.1053/j.jfas.2022.01.013</a>
Public note https://dx.doi.org/10.1053/j.jfas.2022.01.013
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 02/22/2022   35168902 35168902 02/22/2022 02/22/2022 Journal Article

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