000			03145nam a22003857a 4500
008			220222s20222022 xxu||||| |||| 00| 0 eng d
024			_a10.1053/j.jfas.2022.01.013 [doi]
024			_aS1067-2516(22)00015-1 [pii]
040			_aOvid MEDLINE(R)
099			_a35168902
245			_aRisks Factors Associated With Major Lower Extremity Amputation After Vertical Contour Calcanectomy.
251			_aJournal of Foot & Ankle Surgery. 2022 Jan 19
252			_aJ Foot Ankle Surg. 2022 Jan 19
253			_aThe Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
260			_c2022
260			_fFY2022
260			_p2022 Jan 19
265			_saheadofprint
266			_d2022-02-22
501			_aAvailable online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007
520			_aThe 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			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Health Research Institute
651			_aMedStar Washington Hospital Center
656			_aPodiatric Surgery Residency
656			_aSurgery/Podiatric Surgery
657			_aJournal Article
700			_aCook, Helene
700			_aSteinberg, John S
700			_aTefera, Eshetu
790			_aAttinger CE, Cates NK, Cook HR, Delijani K, Kennedy CJ, Kim PJ, Popovsky D, Steinberg JS, Tefera E
856			_uhttps://dx.doi.org/10.1053/j.jfas.2022.01.013 _zhttps://dx.doi.org/10.1053/j.jfas.2022.01.013
942			_cART _dArticle
999			_c735 _d735