The mangled foot and ankle: results from a 2-year prospective study

Journal of Orthopaedic Trauma
J Kent EllingtonLEAP Study Group

Abstract

To determine the outcome of the mangled foot and ankle undergoing limb salvage surgery that required free tissue flaps for wound closure compared with a similar patient foot and ankle injury group that underwent early below knee amputation (BKA). : Prospective longitudinal study. : Eight level 1 trauma centers. LEAP (Lower Extremity Assessment Project) study. One hundred seventy-four open severely injured hindfoot or ankle injuries (116 had salvage; 58 had a BKA). Patients either required immediate amputation or salvage was attempted. The Sickness Impact Profile (SIP) was the principal measure of outcome (higher SIP scores equal greater disability). Secondary outcomes included walking speed, number of rehospitalizations for injury-related complications, time to full weight-bearing, the visual analog pain scale, and return to work at 2 years. When compared to patients treated with standard BKA, salvage patients who required free flaps and/or ankle arthrodesis had significantly worse 2-year outcomes. They had overall SIP scores that were 2.5 points higher and psychosocial SIP scores that were 8.4 points higher at 24 months (P = 0.014 and P = 0.013, respectively). Physical SIP scores were 3.7 points higher in the free flap and/or ...Continue Reading

References

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Citations

May 3, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Brooke CrawfordDavid E Karges
Jun 28, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Col Romney C AndersenCol James R Ficke
Oct 30, 2016·JBJS Reviews·Jessica C RiveraMary Jo Pugh
Sep 11, 2016·Archives of Physical Medicine and Rehabilitation·Linda ResnikBenjamin Silver
Nov 5, 2016·Foot & Ankle International·Andrew J SheeanUNKNOWN Skeletal Trauma Research Consortium (STReC)
Feb 9, 2017·Foot and Ankle Clinics·Tim Schepers, Stefan Rammelt
Oct 3, 2018·The Journal of Bone and Joint Surgery. American Volume·Casey Jo Humbyrd, Travis N Rieder
Jul 30, 2019·Journal of Orthopaedic Trauma·Christopher C StewartSaam Morshed
Oct 20, 2018·The Journal of Bone and Joint Surgery. American Volume·Benjamin K PotterEllen J MacKenzie
Apr 28, 2019·Foot & Ankle International·Vu LeAndrea Veljkovic
Aug 14, 2020·Acta ortopedica brasileira·Alexandre Leme Godoy-SantosUNKNOWN Soft Tissue Foot & Ankle Group
Jun 25, 2015·Current Reviews in Musculoskeletal Medicine·Wade GordonDavid Dromsky
Jan 5, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Senesi LetiziaGigante Antonio
Jan 30, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Basil BudairPaul Fenton
Apr 21, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Colonel B K Potter, Michael J Bosse
May 13, 2021·The Journal of Bone and Joint Surgery. American Volume·UNKNOWN Major Extremity Trauma Research Consortium (METRC)
Jul 29, 2021·Archives of Orthopaedic and Trauma Surgery·Niels JonkergouwPeter van der Wurff
Aug 24, 2021·Archives of Physical Medicine and Rehabilitation·Kevin H McLaughlinUNKNOWN METRC

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