000			03400nam a22004697a 4500
008			240807s20242024 xxu||||| |||| 00| 0 eng d
022			_a1067-2516
024			_aS1067-2516(24)00145-5 [pii]
040			_aOvid MEDLINE(R)
099			_a38964708
245			_aOutcomes in Patients with Heel Ulcerations that Underwent Below the Knee Amputations versus Vertical Contour Calcanectomy: Importance of Selection Criteria.
251			_aJournal of Foot & Ankle Surgery. 2024 Jul 02
252			_aJ Foot Ankle Surg. 2024 Jul 02
253			_aThe Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
260			_c2024
260			_fFY2025
260			_p2024 Jul 02
265			_saheadofprint
265			_tPublisher
266			_d2024-08-07
266			_z2024/07/04 19:28
501			_aAvailable online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007
520			_aThe aim of the study was to compare preoperative factors and postoperative outcomes in patients with heel ulcerations that primarily had a transtibial (below the knee) amputation (N=38) versus vertical contour calcanectomy (n=62). The groups had no statistical difference between their Charlson Comorbidity Index Score, a prognostic score of ten-year survival in patients with multiple comorbidities. The odds of primary closure was 21.1 times higher in patients that underwent below knee amputation compared to patients that underwent vertical contour calcanectomy [OR 21.1 (95% CI 3.89-114.21)]. The odds of positive soft tissue culture at time of closure were 17.1 times higher for patients that underwent vertical contour calcanectomy [OR 17.1 (95% CI 5.40-54.16)]. The odds of a patent posterior tibial artery was 3.3 times higher for patients that underwent vertical contour calcanectomy [OR 3.3 (95% 1.09-10.09)]. The secondary aim of the study was to evaluate preoperative factors and postoperative outcomes in patients with failed vertical contour calcanectomy, defined as needing a below knee amputation. The odds of vertical contour calcanectomy failure was 13.7 times higher in male patients [OR 13.7 (95% CI 1.80-107.60)]. Vertical contour calcanectomy failure was 5.7 times higher in patients with renal disease [OR 5.7 (95% CI 1.10-30.30)], and vertical contour calcanectomy failure was 16.1 times higher for patients who needed additional surgery post closure [OR 16.1 (95% CI 1.40-183.20)]. Copyright © 2024. Published by Elsevier Inc.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
650			_zAutomated
651			_aMedStar Good Samaritan Hospital
651			_aMedStar Health Research Institute
651			_aMedStar Washington Hospital Center
656			_aPodiatric Surgery Residency
656			_aSurgery/Plastic Surgery
656			_aSurgery/Podiatric Surgery
657			_aJournal Article
700			_aCook, Helene R _bMWHC _cPodiatric Surgery Residency
700			_aFan, Kenneth L _bMWHC
700			_aFurmanek, Jonathan D _bMGSH
700			_aSteinberg, John _bMWHC
700			_aTefera, Eshetu _bMHRI
790			_aCates NK, Cook HR, Furmanek JD, Tefera E, Evans KK, Fan KL, Steinberg JS, ChristopherAttinger E
856			_uhttps://dx.doi.org/10.1053/j.jfas.2024.06.010 _zhttps://dx.doi.org/10.1053/j.jfas.2024.06.010
942			_cART _dArticle
999			_c14363 _d14363