PMID: 9429998Jan 16, 1998Paper

Outcomes of transmetatarsal amputations in patients with diabetes mellitus

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
J HoschLawrence A Lavery

Abstract

The purpose of this study was to report on the long-term outcomes of transmetatarsal amputations secondary to sequelae of diabetes mellitus. We abstracted data from 35 diabetic patients receiving a transmetatarsal amputation over a 6-month period in 1992. Patients were followed for a mean 15.1 +/- 10.1 months. The results indicated that the most predictive factor determining higher level amputation (transfemoral or transtibial) appeared to be the actual indication for surgery (90.0% ischemia versus 4.0% infection, chi 2 = 21.7, odds ratio = 220, 95% confidence interval = 12.5-3885.0, p < 0.05). Those with a diagnosis of infection without underlying critical ischemia were significantly more likely to heal at the level of the foot. While all patients presenting for care had dramatically impaired nutritional values and elevated glucose, albumin was significantly lower in subjects receiving a transfemoral or transtibial revision. High-level amputees were also significantly less likely to have been prescribed depth-inlay shoe gear prior to their amputation (48.0% vs. 10.0%, chi 2 = 4.4, odds ratio = 8.3, 95% confidence interval = 1.0-75.7, p < 0.05). Those with a diagnosis of infection without underlying critical ischemia were signi...Continue Reading

References

Feb 1, 1978·The Journal of Bone and Joint Surgery. British Volume·U Larsson, G B Andersson
Nov 1, 1977·Archives of Surgery·D J EffeneyW P Schecter
Mar 1, 1992·Journal of the American Podiatric Medical Association·L J Sanders, G Dunlap
Jul 15, 1992·Annals of Internal Medicine·G E ReiberT D Koepsell
May 1, 1990·Diabetic Medicine : a Journal of the British Diabetic Association·E ChantelauM Spraul
Aug 1, 1989·American Journal of Surgery·J R DurhamJ J Schuler
Sep 1, 1989·Southern Medical Journal·M J HodgeW G Efird
Aug 1, 1987·American Journal of Surgery·J M MaloneV M Bernhard
Jan 1, 1995·Archives of Physical Medicine and Rehabilitation·M J MuellerD R Sinacore
Oct 1, 1995·Diabetes Care·L UccioliG Menzinger
Nov 1, 1995·Diabetes Care·L A LaveryT L Quebedeax-Farnham
Jul 1, 1996·Journal of the American Podiatric Medical Association·D G ArmstrongL B Harkless
Mar 1, 1997·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·D G ArmstrongL B Harkless
Dec 31, 1997·The American Journal of Medicine·L A LaveryD G Armstrong
Mar 1, 1960·Diabetes·M G GOLDNER

❮ Previous
Next ❯

Citations

Oct 1, 2020·World Journal of Diabetes·Ayeshmanthe RathnayakeHenrik Falhammar
Feb 24, 2001·Journal of the American Podiatric Medical Association·C Funk, G Young
Dec 6, 2001·Journal of the American Podiatric Medical Association·J La FontaineL B Harkless
Jun 3, 2009·Foot & Ankle International·Fabian G KrauseAlastair S E Younger
Dec 8, 2011·Orthopedics·Alejandro E PinoJohn H Bowker
Aug 18, 2018·Annals of Vascular Diseases·Ming Ngan Aloysius TanSadhana Chandrasekar
Dec 13, 2018·Foot & Ankle Specialist·Junho AhnDane K Wukich
Feb 24, 2001·Journal of the American Podiatric Medical Association·E SobelH L Richardson
Aug 9, 2013·Foot & Ankle Specialist·Peter Highlander, Andrew B Shinabarger
Apr 2, 2010·The Journal of the American Academy of Orthopaedic Surgeons·Vincent Y Ng, Gregory C Berlet
Apr 2, 2021·Journal of Reconstructive Microsurgery·Eleanor S LumleyJoon Pio Hong
Jun 28, 2005·Clinics in Podiatric Medicine and Surgery·George F Wallace, John J Stapleton
Jun 28, 2005·Clinics in Podiatric Medicine and Surgery·Greg D ClarkKeith D Cook
May 17, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Hiroto TerashiShinya Tahara

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.