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Lower Extremity Amputations in At-Risk Patients: A Focus on Tissue Viability and Function in the Compromised Limb. [Review]

MedStar author(s):

Citation: Clinics in Podiatric Medicine & Surgery. 36(3):483-498, 2019 Jul.PMID: 31079612Institution: MedStar Washington Hospital CenterDepartment: Surgery/Plastic Surgery | Surgery/Podiatric SurgeryForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Amputation | *Foot/su [Surgery] | Amputation/mt [Methods] | Foot Orthoses | Humans | Limb Salvage | Osteomyelitis/su [Surgery] | Patient Care Planning | Patient Care Team | Prognosis | Soft Tissue Infections/su [Surgery] | Tissue SurvivalYear: 2019 Local holdings: Available online through MWHC library: 2002 - presentISSN:

0891-8422

Name of journal: Clinics in podiatric medicine and surgeryAbstract: Amputations distal to the ankle joint are commonly performed in efforts to preserve a limb. Thorough examination of lower extremity biomechanics, patient functional status, and patient goals must be used to help prevent reulceration and further amputation. Once infection is resolved in the acute setting, musculotendon balancing should be considered at the time of amputation closure to maintain functionality of the limb. Patients should be closely followed postoperatively and monitored for biomechanical deformity that needs to be addressed. Careful attention to detail and adherence to surgical principles can help keep patients active and prevent further amputation.Copyright (c) 2019 Elsevier Inc. All rights reserved.All authors: Attinger CE, Kotha VS, Ragothaman K, Steinberg JS, Walters EFiscal year: FY2019Digital Object Identifier:

https://dx.doi.org/10.1016/j.cpm.2019.02.011

Date added to catalog: 2019-05-21

Holdings ( 1 )
Title notes ( 4 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	31079612	Available		31079612

Available online through MWHC library: 2002 - present

Amputations distal to the ankle joint are commonly performed in efforts to preserve a limb. Thorough examination of lower extremity biomechanics, patient functional status, and patient goals must be used to help prevent reulceration and further amputation. Once infection is resolved in the acute setting, musculotendon balancing should be considered at the time of amputation closure to maintain functionality of the limb. Patients should be closely followed postoperatively and monitored for biomechanical deformity that needs to be addressed. Careful attention to detail and adherence to surgical principles can help keep patients active and prevent further amputation.

English