Evaluation of Peripheral Perfusion in the Presence of Plantar Heel Ulcerations Status After Transmetatarsal Amputation With Achilles Tendon Lengthening. (Record no. 5274)

MARC details
000 -LEADER
fixed length control field 03173nam a22003977a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 200826s20202020 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1067-2516
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1053/j.jfas.2019.11.002 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S1067-2516(20)30029-6 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 32580873
245 ## - TITLE STATEMENT
Title Evaluation of Peripheral Perfusion in the Presence of Plantar Heel Ulcerations Status After Transmetatarsal Amputation With Achilles Tendon Lengthening.
251 ## - Source
Source Journal of Foot & Ankle Surgery. 2020 Jun 21
252 ## - Abbreviated Source
Abbreviated source J Foot Ankle Surg. 2020 Jun 21
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 2020
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2020
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2020-08-26
520 ## - SUMMARY, ETC.
Abstract The objective of this study is to evaluate peripheral perfusion in patients who developed plantar heel ulcerations status after transmetatarsal amputation and Achilles tendon lengthening. Peripheral perfusion was assessed via contrast angiography of the 3 crural vessels (anterior tibial, posterior tibial, and peroneal arteries), as well as intact heel blush and plantar arch. The secondary objective is to correlate the arterial flow to time to develop heel ulceration and incidence of minor and major lower-extremity amputation. Diagnostic angiography without intervention was performed on 40% of patients (4/10), and interventional angiography was performed on 60% of patients (6/10). In-line flow was present in 0% (0/10) of the peroneal arteries, 60% (6/10) of the anterior tibial arteries, and 70% (7/10) of the posterior tibial arteries. Heel angiographic contrast blush was present in 60% (6/10), and intact plantar arch was present in 60% (6/10). Patients developed heel ulcerations at a mean time of 7.6 months (range 0.7 to 41.2) postoperatively. The incidence of major lower-extremity amputation was 30% (3/10), with a mean time of 5.2 months (range 3.5 to 8.3) from time of heel wound development. No amputation occurred in 6 patients (60%). Among them, intact anterior tibial inline arterial flow was present in 3, intact posterior tibial inline arterial flow was present in 6, and heel blush was present in 5. Our results demonstrate that an open calcaneal branch of the posterior tibial artery is sufficient to heal plantar heel ulcerations to potentially increase rates of limb salvage. Copyright (c) 2020. Published by Elsevier Inc.
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 Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Surgery/Podiatric Surgery
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Department Surgery/Vascular Surgery
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
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Local Authors Akbari, Cameron M
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Cates, Nicole K
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Local Authors Pandya, Mira
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Local Authors Raspovic, Katherine M
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Salerno, Nicholas D
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Steinberg, John S
790 ## - Authors
All authors Akbari CM, Attinger CE, Cates NK, Evans KK, Kim PJ, Pandya M, Raspovic KM, Salerno ND, Steinberg JS, Zarick CS
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1053/j.jfas.2019.11.002">https://dx.doi.org/10.1053/j.jfas.2019.11.002</a>
Public note https://dx.doi.org/10.1053/j.jfas.2019.11.002
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 08/26/2020   32580873 32580873 08/26/2020 08/26/2020 Journal Article

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