Academic literature on the topic 'Amputation'

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Journal articles on the topic "Amputation"

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Stoy, Conrad, Stephanie Kwan, Justin Kistler, and Jacob Tulipan. "A Look at the Course and Management of Non-Traumatic Upper Extremity Amputation." Hand and Microsurgery 11, no. 2 (2022): 1. http://dx.doi.org/10.5455/handmicrosurg.23893.

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Objectives Amputation is a major source of morbidity and mortality. Non-traumatic amputations of the upper extremity are less common, and less well-characterized, than the lower extremity. We hypothesize that upper extremity amputations are often associated with multiple returns to the operating room. Methods Twenty-five patients were identified that underwent primary or revision ray or phalangeal amputations for vascular/infectious indications. Chart review was utilized to gather information on additional amputations and demographic information. These groups were compared via chi-squared analysis assuming equal distributions of operations would be present between groups. Results Of the patients with infectious and/or vascular amputations, 56% had a subsequent amputation. Additionally, 23 irrigation and debridement\’s (I and D) were performed before resorting to amputation with 6 patients requiring multiple I and Ds. Post-amputation, 3 patients required I and D, 7 revision amputations at higher levels, 8 amputations of additional ipsilateral digits, and 4 amputations of contralateral digits were performed. After initial amputation, there is a 76% chance of undergoing an additional operation and/or amputation of the upper extremity. A subgroup of these patients with diabetes showed statistically significant increases in ipsilateral amputations following initial amputation. Conclusions Our study shows that patients undergoing digit amputation for nontraumatic indications may require additional upper extremity operations following initial amputation. Subsequent revision amputation at a higher level is common and suggests that more aggressive early amputation may be warranted in these patients. Specifically, diabetic patients are at significantly increased risk of requiring additional digit amputations and may benefit from more aggressive initial surgery at time of presentation.
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Dillon, Michael P., Friedbert Kohler, and Victoria Peeva. "Incidence of lower limb amputation in Australian hospitals from 2000 to 2010." Prosthetics and Orthotics International 38, no. 2 (June 24, 2013): 122–32. http://dx.doi.org/10.1177/0309364613490441.

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Background: Contemporary literature reports that the incidence of lower limb amputation has declined in many countries. This impression may be misleading given that many publications only describe the incidence of lower limb amputations above the ankle and fail to include lower limb amputations below the ankle. Objectives: To describe trends in the incidence of different levels of lower limb amputation in Australian hospitals over a 10-year period. Study design: Descriptive. Method: Data describing the age-standardised incidence of lower limb amputation were calculated from the Australian National Hospital Morbidity database and analysed for trends over a 10-year period. Results: The age-standardised incidence of lower limb amputation remained unchanged over time ( p = 0.786). A significant increase in the incidence of partial foot amputations ( p = 0.001) and a decline in the incidence of transfemoral ( p = 0.00) and transtibial amputations ( p = 0.00) were observed. There are now three lower limb amputations below the ankle for every lower limb amputation above the ankle. Conclusion: While the age-standardised incidence of all lower limb amputation has not changed, a shift in the proportion of lower limb amputations above the ankle and lower limb amputations below the ankle may be the result of improved management of precursor disease that makes partial foot amputation a more commonly utilised alternative to lower limb amputations above the ankle. Clinical relevance This article highlights that although the incidence of lower limb amputation has remained steady, the proportion of amputations above the ankle and below the ankle has changed dramatically over the last decade. This has implications for how we judge the success of efforts to reduce the incidence of lower limb amputation and the services required to meet the increasing proportion of persons with amputation below the ankle.
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Armstrong, DG, LA Lavery, LB Harkless, and WH Van Houtum. "Amputation and reamputation of the diabetic foot." Journal of the American Podiatric Medical Association 87, no. 6 (June 1, 1997): 255–59. http://dx.doi.org/10.7547/87507315-87-6-255.

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The authors compare the level of foot amputation by age, prevalence of arterial disease as a precipitating factor, gender, and ethnicity in persons with diabetes mellitus. Medical records were abstracted for each hospitalization for a lower extremity amputation from January 1 to December 31, 1993, in six metropolitan statistical areas in south Texas. Amputation level was defined by ICD-9-CM codes and were categorized as foot, leg, and thigh amputations. Foot-level amputations were further subcategorized as hallux or first ray, middle, fifth, multiple digit or ray, and midfoot amputations. Only the highest amputation level for each individual was used in the analysis. Of 1,043 subjects undergoing a lower extremity amputation in south Texas in the year 1993, 477 received their amputation at the level of the foot. African-Americans requiring a foot-level amputation were at significantly higher risk to undergo a midfoot-level amputation than was the rest of the population. Nearly 40% of all subjects undergoing a foot-level amputation had a previous history of amputation. However, nearly 40% of subjects undergoing foot amputations had not been diagnosed either before or during admission with peripheral arterial occlusive disease, suggesting a causal pathway dependent primarily on neuropathy. This implies that better screening of diabetic patients with appropriate risk-directed treatment at the primary care level may significantly impact the large number of preventable diabetes-related lower extremity amputations.
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Walter, Nike, Volker Alt, and Markus Rupp. "Lower Limb Amputation Rates in Germany." Medicina 58, no. 1 (January 10, 2022): 101. http://dx.doi.org/10.3390/medicina58010101.

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Background and Objectives: The current epidemiology of lower limb amputations is unknown. Therefore, the purpose of this study was to determine (1) lower extremity amputation rates as a function of age, gender, and amputation level between 2015 and 2019, (2) main diagnoses indicating amputation, (3) revision rates after lower extremity amputation. Materials and Methods: Lower extremity amputation rates were quantified based on annual Operation and Procedure Classification System (OPS) and International Classifications of Disease (ICD)-10 codes from all German medical institutions between 2015 through 2019, provided by the Federal Statistical Office of Germany (Destatis). Results: In 2019, 62,016 performed amputations were registered in Germany. Out of these 16,452 procedures (26.5%) were major amputations and 45,564 patients (73.5%) underwent minor amputations. Compared to 2015, the incidence of major amputations decreased by 7.3% to 24.2/100,000 inhabitants, whereas the incidence of minor amputation increased by 11.8% to 67.1/100,000 inhabitants. Highest incidence was found for male patients aged 80–89 years. Patients were mainly diagnosed with peripheral arterial disease (50.7% for major and 35.7% for minor amputations) and diabetes mellitus (18.5% for major and 44.2% for minor amputations). Conclusions: Lower limb amputations remain a serious problem. Further efforts in terms of multidisciplinary team approaches and patient optimization strategies are required to reduce lower limb amputation rates.
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Eidmann, Annette, Yama Kamawal, Martin Luedemann, Peter Raab, Maximilian Rudert, and Ioannis Stratos. "Demographics and Etiology for Lower Extremity Amputations—Experiences of an University Orthopaedic Center in Germany." Medicina 59, no. 2 (January 19, 2023): 200. http://dx.doi.org/10.3390/medicina59020200.

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Background and Objectives: Currently, the worldwide incidence of major amputations in the general population is decreasing whereas the incidence of minor amputations is increasing. The purpose of our study was to analyze whether this trend is reflected among orthopaedic patients treated with lower extremity amputation in our orthopaedic university institution. Materials and Methods: We conducted a single-center retrospective study and included patients referred to our orthopaedic department for lower extremity amputation (LEA) between January 2007 and December 2019. Acquired data were the year of amputation, age, sex, level of amputation and cause of amputation. T test and Chi² test were performed to compare age and amputation rates between males and females; significance was defined as p < 0.05. Linear regression and multivariate logistic regression models were used to test time trends and to calculate probabilities for LEA. Results: A total of 114 amputations of the lower extremity were performed, of which 60.5% were major amputations. The number of major amputations increased over time with a rate of 0.6 amputation/year. Men were significantly more often affected by LEA than women. Age of LEA for men was significantly below the age of LEA for women (men: 54.8 ± 2.8 years, women: 64.9 ± 3.2 years, p = 0.021). Main causes leading to LEA were tumors (28.9%) and implant-associated complications (25.4%). Implant-associated complications and age raised the probability for major amputation, whereas malformation, angiopathies and infections were more likely to cause a minor amputation. Conclusions: Among patients in our orthopaedic institution, etiology of amputations of the lower extremity is multifactorial and differs from other surgical specialties. The number of major amputations has increased continuously over the past years. Age and sex, as well as diagnosis, influence the type and level of amputation.
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Jain, Amit Kumar C., Vishakha M, and Pratheek K.C. "Analysing Diabetic Foot Amputations through Amit Jain’s Extended SCC Classification." Journal of Evidence Based Medicine and Healthcare 8, no. 8 (February 22, 2021): 435–39. http://dx.doi.org/10.18410/jebmh/2021/85.

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BACKGROUND Foot amputations are common in diabetic patients and they are either minor or major. We conducted this study to analyse minor amputations done in diabetic patients through this new Amit Jain’s extended “SCC” classification for foot amputations. METHODS A descriptive retrospective study was conducted in Department of Surgery of Raja Rajeswari Medical College, Bengaluru, Karnataka, India, which is a tertiary care teaching hospital. The study period was from January 2018 to December 2019. This study was approved by institutional ethics committee. RESULTS 32 patients were included in this study with majority of patients being above 40 years. 78.1 % of them were males. Infected ulcers in the foot accounted for 34.4 % of the cases and were the commonest cause for amputation. 96.9 % of the patients who underwent minor amputation were of type 1-foot amputation. 6.3 % ended up in major amputation in the same hospitalisation. There was no in-patient mortality in this study. CONCLUSIONS Diabetic foot amputations are common in clinical practice and they often cause increased morbidity and add financial burden to patients and their family. Toe amputations, which are type 1-foot amputations, are the commonest amputations performed. Type 3-foot amputations are rarely done as they are complicated and require expertise. Amit Jain’s extended SCC classification for foot amputation is a simple, easy to understand and practical classification that categorises the minor amputation into 3 simple types. This is the first such classification exclusive for foot amputation. KEYWORDS Diabetes, Amputation, Foot, Amit Jain, Osteomyelitis, Gangrene, Ulcer
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Leite, Jose O., Leandro O. Costa, Walter M. Fonseca, Debora U. Souza, Barbara C. Goncalves, Gabriela B. Gomes, Lucas A. Cruz, et al. "General outcomes and risk factors for minor and major amputations in Brazil." Vascular 26, no. 3 (October 17, 2017): 291–300. http://dx.doi.org/10.1177/1708538117736677.

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Objectives Major and minor amputations are associated with significant rates of mortality. However, little is known about the impact of unplanned redo-amputation during the same hospitalization on outcomes. The objectives of this study were to identify the risk factors associated with in-hospital mortality after both major and minor amputations as well as the results of unplanned redo-amputation on outcome. Methods Retrospective study of 342 consecutive patients who were treated with lower extremity amputation in Brazil between January 2013 and October 2014. Results The in-hospital mortality rate was higher in major compared to minor amputation (25.6% vs. 4.1%; p < 0.0001). Whereas chronic kidney disease, chronic obstructive pulmonary disease, and planned staged amputation predicted in-hospital mortality after major amputation, age, and congestive heart failure predicted mortality after minor amputation. The white blood cell count predicted in-hospital mortality following both major and minor amputation. However, postoperative infection predicted in-hospital mortality only following major amputation. Conclusions In-hospital mortality was high after major amputations. Unplanned redo-amputation was not a predictor of in-hospital mortality after major or minor amputation. Planned staged amputation was associated with reduced survival after major but not minor amputation. Postoperative infection predicted mortality after major amputation. Systemic diseases and postoperative white blood cell were associated with in-hospital mortality. This study suggests a possible link between a pro-inflammatory state and increased in-hospital mortality following amputation.
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Elsherif, Mohamed, Wael Tawfick, Patrick Canning, Niamh Hynes, and Sherif Sultan. "Quality of time spent without symptoms of disease or toxicity of treatment for transmetatarsal amputation versus digital amputation in diabetic patients with digital gangrene." Vascular 26, no. 2 (October 11, 2017): 142–50. http://dx.doi.org/10.1177/1708538117718108.

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Aim We aim to compare the outcome of diabetic patients with gangrenous toes who were managed initially either by digital amputation or by transmetatarsal amputation. The null hypothesis is that transmetatarsal amputation had less theatre trips and better healing. Materials and Methods A parallel observational comparative study of all diabetic patients who underwent either digital or transmetatarsal amputation in a tertiary referral center from 2002 through 2015. Comorbid conditions, subsequent amputations, hospital stay, and readmission were noted. Results A total of 223 patients underwent minor amputation during the study period, of which 147 patients were diabetic and 76 patients were non-diabetic. Seventy-seven patients had digital amputation and 70 transmetatarsal amputation in diabetic patients. Demographics were similar in both groups. The median time to major amputation was (400 ± IQR 1205 days) in the digital amputation group, compared to 690 ± IQR 891 days in the transmetatarsal amputation group ( P = 0.974). 29.9% of digital amputations and 15.7% of transmetatarsal amputations in diabetic patients, required minor amputations or revision procedures ( P = 0.04). Median length of hospital stay was (20 days, IQR 27) in the digital group and (17 days, IQR17) in the transmetatarsal amputation group ( P = 0.17). Need for re-admission was 48.1% in digital patients compared to 50% in transmetatarsal amputation patients ( P = 0.81). Quality of time spent without symptoms of disease or toxicity of treatment (Q-TWiST) was (315 days, IQR 45) in digital group and (346 days, IQR 48) in the transmetatarsal amputation patients ( P = 0.099). Conclusion Despite the lack of statistical significance, transmetatarsal amputation offered better outcome in the diabetic patients, with less re-intervention rate, shorter hospital stays, less theatre trips, and longer time without toxicity (TWiST).
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Kim, Y. C., C. I. Park, D. Y. Kim, T. S. Kim, and J. C. Shin. "Statistical analysis of amputations and trends in Korea." Prosthetics and Orthotics International 20, no. 2 (August 1996): 88–95. http://dx.doi.org/10.3109/03093649609164424.

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Epidemiological research on amputees is being continued extensively world wide, but there are different epidemiologic reports from country to country. This study undertakes an epidemiologic report of the medical records of amputees in Korea which has developed very rapidly, when compared with other countries. This study included 4258 amputees who either had an amputation and/or received prosthetic training at Yonsei University College of Medicine, Severance Hospital from January 1970 to June 1994. The most common cause of amputation was trauma (66.7%), and the second most common cause was peripheral vascular disease. While amputations due to infection or trauma were the most common in the 1950's, amputations due to peripheral vascular disease have gradually increased until they now make up 23.5% of all amputations in the 1990's. Lower limb amputation, more common than upper limb amputation, accounted for 68.7% of all amputations. Multiple amputation accounted for 9.3% of all amputations, and the occurrence rate of multiple amputation was relatively higher in cases of burn injuries, train accidents, frostbite, and Buerger's disease than in cases brought about by other causes. The various amputation causes change according to the circumstances of the times, as can be seen in this study.
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Moon, Daniel, Kenneth Smith, Alexander Shu, Shanthan Challa, and Kenneth Hunt. "Clinical Outcome Differences Between Single and Multi-stage Transtibial Amputations." Foot & Ankle Orthopaedics 4, no. 4 (October 1, 2019): 2473011419S0031. http://dx.doi.org/10.1177/2473011419s00310.

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Category: Diabetes, Trauma, Amputation Introduction/Purpose: Transtibial amputations are often necessary when patients experience irreversible tissue damage in their lower extremities. Current amputation methods incorporate either a single-stage amputation with primary wound closure or a two-stage amputation. A two-stage amputation consists of an initial amputation, typically performed at a more distal site, followed by a second more proximal amputation with stump formalization. The reported advantages of two-staged amputations include decreased muscle retraction and the reduced spread of infection/necrosis. This has been reported to allow for reduced failure rates and lower rates of stump revision. Since two-stage amputations are associated with increased monetary costs, time spent in the hospital, and clinical resources used over single-stage amputations, establishing the differences between the clinical outcomes of both types of amputations can provide benefit-cost insight. Methods: This study was a retrospective study, so we began by pulling a query for all patients that underwent a below-the-knee amputation at our institution from January 1, 2015 through January 1, 2018. We excluded revision amputation patients and patients that suffered a traumatic amputation. We will then perform a chart review while recording demographic data, comorbidities, indication for amputation, labs and culture data if present. We will also record the final outcome of the surgery including any revision surgeries. We will collect data on total length of stay and total cost of care from the date of index surgery to the date of prosthetic fitting. For the cost analysis, a Markov model will be used, which can be incorporated with decision tree modeling to estimate the usage of healthcare resources by determining costs through the different phases of healthcare. Results: Our query returned 152 total patients, of which we estimate approximately 25% to 33% underwent a two staged amputation based on the surgeon’s typical amputation preferences. A power analysis was performed which suggested we needed 144 total patients to show a 20% anticipated absolute reduction in complication rates in two-stage amputations compared to single-stage amputations, based on a previous study. We just received the data this week and have not yet performed the full chart review. We hypothesize that two-stage amputations will be considerably more costly than single-stage but that the more involved two-stage strategy may be beneficial in certain subgroups of patients. Conclusion: While we do not yet have the chart review completed for this project, we are excited to elucidate the differences between single-stage and two-stage amputations. We anticipate having all data extracted within the next two months and a complete manuscript by the beginning of the summer. This project has the strong potential to change clinical practice of how trans-tibial amputations are performed depending on the outcome, revision rates, wound complication rates and total healthcare costs.
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Dissertations / Theses on the topic "Amputation"

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Sultana, V. "Amputations and invocations : a study of limb amputation in Malta." Thesis, University College London (University of London), 2011. http://discovery.ucl.ac.uk/1336528/.

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Based on ethnographic research, “Amputations and Invocations” is a study of Maltese amputees. It is an examination of how the body is rebuilt following lower limb amputation surgery within a Maltese context. The study contributes to current arguments in medical anthropology because it shows how the body is a cultural artifact not only in its presence but also in its absence. The amputated person becomes the pragmatisation of significant aspects of Maltese culture. Roman Catholic beliefs, biomedical interventions and family support are simultaneously invoked when a person loses part of the body. These invocations reflect how society conditions the way fragmented bodies are perceived and rebuilt. This profound human change was interpreted from an emic and etic perspective by examining this experience as a symbolic “rite de passage” and by applying an original framework based on the Roman Catholic belief in Death and Resurrection. These explanatory models helped bridge the difficulty that arises when the ethnographer, without self-experience of amputation, writes about such a non-ordinary human experience. Various levels of analysis revealed that body rebuilding following limb amputation is not just a matter of substituting the flesh with technology. Rebuilding the mutilated body entails facing challenges imposed not only by the body with missing limbs, but also by society's reaction to the mutilated, broken body.
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Hansson, Love, and Ljung Sebastian Björklund. "Livet efter en amputation." Thesis, Mittuniversitetet, Avdelningen för omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-26498.

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Jakobsson, Martin, and Linn Mollberg. "Livet efter amputation - En litteraturstudie." Thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-73005.

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Rosengren, Niklas, and Martina Wahlén. "Diabetespatienters livskvalitet efter amputation : en litteraturstudie." Thesis, Karlstad University, Division for Health and Caring Sciences, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-880.

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Varje år insjuknar många människor världen över i sjukdomen diabetes mellitus och antalet insjuknande per år väntas öka. Sjukdomen är i de flesta fall kronisk och för med sig flertalet komplikationer. En av dessa komplikationer är amputation av nedre extremiteter på grund av sämre blodförsörjning. Syftet med denna studie var att beskriva hur diabetespatienter upplever sin livskvalitet efter en amputation. Studien är en litteraturstudie som genomfördes enligt Polit, Beck och Hungler (2005). Resultatet redovisas i tre huvudkategorier; fysisk livskvalitet, psykisk livskvalitet och social livskvalitet. Studien visar att livskvaliteten för de diabetespatienter som amputerats är lägre än för de diabetespatienter som känner sig friska men bättre än för de diabetespatienter med pågående fotsår. Livskvaliteten efter amputation påverkas av en rad olika faktorer till exempel; rörlighet, smärta, psykisk status, protesanvändande och patientens sociala nätverk.

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Atherton, Rachel Jane. "Psychological adjustment to lower limb amputation." Thesis, University of Leicester, 2002. http://hdl.handle.net/2381/31329.

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Rationale: Clinical reports have indicated that a significant number of lower limb amputees experience psychological adjustment problems. Research had demonstrated a relatively high prevalence of depression in this population but there has been inadequate attention to other aspects of adjustment. This study aimed to identify variables associated with increased psychological distress. Particular attention was given to cognitive models of emotion which postulate a key role for self-consciousness and appearance-related beliefs. Methods: A cross-sectional correlational design was employed. Participants were 67 lower limb amputees. Measures gathered information about different types of self-consciousness, appearance-related beliefs, psychological adjustment, and a range of amputation-related factors including activity restriction, prosthesis satisfaction, phantom and residual limb pain and other medical issues. Results: The prevalence of anxiety was 29.9% and the prevalence of depression was 13.4%. Activity restriction, prosthesis satisfaction and appearance-related beliefs were associated with both distress and psychosocial adjustment difficulties. Public self-consciousness was associated with distress and psychosocial adjustment difficulties but this was not the case for private self-consciousness. Psychological distress was more common amongst those who reported amputation-related pain or additional health problems. Distress was not influenced by age, time since amputation, cause of amputation or level of amputation. Implications: Clinicians need to monitor amputees for distress over a long time period. It is particularly important to assess for anxiety. Interventions that target appearance-related beliefs may be of benefit to this population. Limitations of the current study are addressed and areas for further research are highlighted.
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Sansam, Katherine Alice Julia. "Predicting walking following lower limb amputation." Thesis, University of Leeds, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.659125.

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Lower limb amputation is a common clinical problem with around 7,000 leg amputations occurring in the UK per year. This commonly results in impaired mobility, which may also influence an individual's quality of life and independence. However, it is difficult to predict walking ability with a prosthesis accurately. The objective of this thesis is to establish whether simple clinical tests can be used to predict walking outcome following lower limb amputation . A systematic literature review, performed to establish current knowledge regarding predictors of walking following lower limb amputation, found inconsistent results and variability in methodology making comparison difficult. Data were collected to ascertain the current clinical assessment practice and mobility outcome for lower limb amputees in Leeds. This indicated that only around one third of patients achieve independent walking with a prosthesis. A qualitative interview study was completed with clinicians experienced in amputee rehabilitation to explore in more depth the decision making processes that are used to determine whether a patient is supplied with a prosthesis and what components are prescribed. This identified four key themes, one of which was estimating outcome, emphasising the clinical importance of predicting walking outcome in amputee rehabilitation. The final section of the research took the form of an observational study looking at the predictive nature of simple clinical tests on walking outcome after prosthetic rehabilitation. Backward stepwise multiple linear regression analysis resulted in a model that was able to predict 59% of the variance in the timed up and go test and contained six predictor variables; age, gender, amputation level, presence of contracture, ability to stand on one leg and performance on the trail making test. If confirmed in a larger population and across multiple sites these simple tests could be used to improve estimation of walking outcome in the future.
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HILLION, GEORGES. "Algoneurodystrophie du membre inferieur apres amputation." Aix-Marseille 2, 1989. http://www.theses.fr/1989AIX20163.

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Saruco, Elodie. "Imagerie motrice et amputation du membre inférieur." Thesis, Lyon, 2017. http://www.theses.fr/2017LYSE1237/document.

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L'imagerie motrice, ou représentation interne d'un mouvement, est une technique d'entraînement mental ayant la particularité d'impacter la plasticité cérébrale activité-dépendante. La pertinence de son intégration au sein des programmes de rééducation fonctionnelle a été validée par de nombreuses études expérimentales, tout particulièrement pour les personnes victimes d'un accident vasculaire cérébral ou d'une lésion de la moelle épinière. Les résultats obtenus par ce travail de thèse élargissent l'éventail des populations pouvant bénéficier de cette approche en validant la faisabilité et en précisant les conditions optimales de l'intégration de l'imagerie motrice dans le cadre de la rééducation de personnes amputées du membre inférieur. Nous rapportons également des résultats préliminaires prometteurs quant à ses effets sur le recouvrement de leurs capacités locomotrices. Les données montrent que le travail en imagerie motrice devrait être spécifique aux mouvements fonctionnels bilatéraux et que, sous réserve d'une prochaine validation auprès de cette population, l'imagerie motrice de tâches posturales ainsi que l'utilisation conjointe de la stimulation transcrânienne à courant continu, devraient permettre de maximiser son pouvoir d'action sur le recouvrement de la locomotion de personnes amputées du membre inférieur
Motor imagery, which refers to the internal representation of a movement, has the potential to impact activity-dependent plasticity. The relevance of motor imagery, as a technique allowing substantial motor performance gains and motor recovery in the field of rehabilitation, has been validated by numerous experimental studies in stroke patients and persons suffering from spinal cord injury. By highlighting the possibility of integrating motor imagery within the framework of lower-limb amputees’ rehabilitation programs, and revealing promising preliminary data regarding locomotion recovery, the results of this thesis broaden the range of people which might benefit from this technique. Data further suggest that motor imagery should specifically focus on functional and bilateral tasks, and that concomitant use of transcranial direct current stimulation should contribute to potentiate the impact of motor imagery on locomotion recovery of lower-limb amputees
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Agdur, Klara, and Amaell Chausset. "Personliga upplevelser av fantomfenomen efter en amputation." Thesis, Karlstads universitet, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-47506.

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Lokman, Khorshed Shaima, and Jenilee Carlsson. "Patienters upplevelser inför en amputation : En litteraturstudie." Thesis, Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-77689.

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Books on the topic "Amputation"

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Ham, R., and L. Cotton. Limb Amputation. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4899-3152-8.

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Muminagić, S. N. War amputation. Sarajevo: Sahinpasić, 1997.

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S, Moore Wesley, and Malone James M. 1946-, eds. Lower extremity amputation. Philadelphia: Saunders, 1989.

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Mensaert, Alex. Amputation on Request. Fort Lauderdale, USA: Alex Mensaert - lulu - hedera, 2011.

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Josip, Vrbošić, ed. Hrvatsko pitanje i amputacija =: Kroatische Frage und Amputation = Croatian question and amputation. 4th ed. Osijek: Panliber, 1994.

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Grayson, Erik, and Maren Scheurer, eds. Amputation in Literature and Film. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-74377-2.

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Claybourne, Anna. Pirate!: From navigation to amputation. London: A. & C. Black, 2010.

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1920-, Murdoch George, and Wilson A. Bennett, eds. Amputation: Surgical practice and patient management. Oxford: Butterworth-Heinemann, 1996.

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Ham, R. Limb amputation ; from aetiology to rehabilitation. London: Chapman and Hall, 1991.

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G, Donovan R., and Murdoch George 1920-, eds. Amputation surgery and lower limb prosthetics. Oxford, [England]: Blackwell Scientific, 1988.

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Book chapters on the topic "Amputation"

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Penn-Barwell, Jowan G., Jon Kendrew, and Ian D. Sargeant. "Amputation." In Ballistic Trauma, 491–503. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-61364-2_31.

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Martini, Abdul Kader. "Amputation." In Orthopädische Handchirurgie, 223. Heidelberg: Steinkopff, 2004. http://dx.doi.org/10.1007/978-3-662-12650-9_64.

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Turner, Aaron P., Rhonda M. Williams, and Dawn M. Ehde. "Amputation." In Practical Psychology in Medical Rehabilitation, 163–71. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-34034-0_19.

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Fahie, Maria. "Amputation." In Complications in Small Animal Surgery, 735–42. Chichester, UK: John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781119421344.ch109.

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Böning, Dieter, Michael I. Lindinger, Damian M. Bailey, Istvan Berczi, Kameljit Kalsi, José González-Alonso, David J. Dyck, et al. "Amputation." In Encyclopedia of Exercise Medicine in Health and Disease, 64. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-540-29807-6_2079.

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Athanasou, James A. "Amputation." In Encountering Personal Injury, 149–56. Rotterdam: SensePublishers, 2016. http://dx.doi.org/10.1007/978-94-6300-657-6_14.

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Fetkenhour, Douglas. "Amputation." In Encyclopedia of Trauma Care, 135–37. Berlin, Heidelberg: Springer Berlin Heidelberg, 2015. http://dx.doi.org/10.1007/978-3-642-29613-0_534.

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Hooker, Susan. "Amputation." In Caring for Elderly People, 55–62. London: Routledge, 2024. http://dx.doi.org/10.4324/9781003426967-6.

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Heizmann, Sabrina. "Amputation." In Ergotherapie in der Onkologie, 347–58. Berlin, Heidelberg: Springer Berlin Heidelberg, 2023. http://dx.doi.org/10.1007/978-3-662-64230-6_31.

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Ham, R., and L. Cotton. "The history of amputation surgery and prosthetics." In Limb Amputation, 1–11. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4899-3152-8_1.

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Conference papers on the topic "Amputation"

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Cotrobas dascalu, Vlad theodor, Marius Stoica, and Adina Dreve. "POSSIBILITIES OF EVALUATION OF THE POST-AMPUTATION WALKING USING THE KINOVEA SOFTWARE." In eLSE 2021. ADL Romania, 2021. http://dx.doi.org/10.12753/2066-026x-21-182.

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The amputation is represented by the deliberate surgical removal of a limb, limb segment, or body part. From an etiological point of view, the amputations are caused by chronic vascular diseases, diabetes, tumors and trauma. At the lower limbs, the amputation can be performed at the following levels: finger amputation, transmetatarsal amputation, Lisfranc amputation, Chopart amputation, Syme amputation, transtibial amputation, rotationplasty, knee disarticulation, transfemoral amputation, hip disarticulation and hemipelvectomy. The level of the amputation is determined by factors such as: at the amputations caused by a trauma, the viable tissue determines the level, and in the case of vascular diseases with infection, the level is determined by the unaffected vascular area. The transfemoral amputation is performed through the femoral and thigh muscles and covers almost 85% of all amputations. At patient with transfemoral amputation, there is only a 25% success from the prosthesis use. From a therapeutic point of view, the patient with amputation is approached by an interdisciplinary team that can be consisted of: doctor, nurse, psychologist, physiotherapist, orthopedic technician, occupational therapist and social worker. This study involves conducting a case study to analyze the walking in the context of a transfemoral amputation. The support time on the ground, on the foot with which the subject walks with the prosthesis and the distance of the step of the prosthetic segment was evaluated.Kinovea is a free 2D motion analysis program that can be used to measure kinematic parameters and allows the user to control time parameters and evaluate angles and distances frame by frame. It allows the user to control time parameters and measure angles and distances frame by frame.
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Septiani, Anissa Eka, Bhisma Murti, Setyo Sri Rahardjo, and Hanung Prasetya. "Meta-Anaylsis: Gender and the Risk of Lower Extremity Amputation in Patients with Type 2 Diabetes Mellitus and Foot Ulcer." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.01.37.

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ABSTRACT Background: Diabetes is an independent predictor of limb amputation (versus revascularization) for the treatment of critical limb ischemia. Much of the cost related to diabetes results from macrovascular and microvascular complications, such as myocardial infarctions, end-stage renal disease, and lower extremity amputations (LEAs). This study aimed to examine the associations between gender and the risk of lower extremity amputation in patients with type 2 diabetes mellitus and foot ulcer. Subjects and Method: A meta-analysis and systematic review was conducted by collected published articles from Pubmed, Scopus, Google Scholar, and Springer Link databases. Lower limb amputation, lower extremity amputation, diabetic foot, and diabetic ulcer keywords were used to collect the articles. The inclusion criteria were full text, cohort study, and reporting adjusted odds ratio. The selected articles were analyzed by PRISMA flow chart and revman 5.3. Results: 9 articles were reported that male increased the risk of lower extremity amputation in type 2 DM patients (aOR= 1.60; 95% CI= 1.32 to 1.94; p<0.001). Conclusion: Male increases the risk of lower extremity amputation in type 2 DM patients. Keywords: lower extremity amputation, type 2 diabetes mellitus, foot ulcer Correspondence: Anissa Eka Septiani. Masters Program in Public Heath, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: sanissaeka@gmail.com. Mobile: 089514646458. DOI: https://doi.org/10.26911/the7thicph.01.37
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Smolensky, Alexander V., Stephanie Clement-Guinaudeau, Michael K. Larche, John N. Oshinski, and W. Robert Taylor. "Mechanisms of Abdominal Aortic Aneurysm Formation in Persons With Traumatic Amputation of a Lower Extremity." In ASME 2011 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2011. http://dx.doi.org/10.1115/sbc2011-53465.

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Abdominal aortic aneurysms (AAA) are a major cause of morbidity and mortality in the US. The incidence of AAA in older Americans approaches 30%. The most common place of AAA is infrarenal abdominal aorta where oscillatory shear stress (OSS) is present. OSS is known to initiate an inflammatory response in the endothelium. It is known that there is up to a 5-fold increase in the occurrence of AAA in individuals with traumatic amputation of a lower extremity. This increased AAA occurrence is unrelated to co-morbid conditions. We recruited 3 healthy volunteers who underwent infrarenal abdominal aortic Magnetic Resonance angiography and phase contrast imaging. These measurements were done at base line and with acute arterial blood flow occlusion to lower extremity with a blood pressure cuff to mimic amputation. The collected data was used to calculate systolic forward and diastolic retrograde blood flow and wall shear stress during cardiac cycle. Our results suggest that mimicking amputation produces a nearly doubling of retrograde blood flow with ∼50% increase of negative WSS. These changes are more pronounced on the contralateral to the “amputation” side. We conclude that lower extremity traumatic amputations may lead to augmentation of OSS in infrarenal aorta causing AAA development.
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Reitz, K., J. Kennedy, H. B. Gershengorn, T. D. Girard, M. D. Neal, H. C. Prescott, M. R. Rosengart, et al. "Epidemiology of Surgical Amputation After Sepsis." In American Thoracic Society 2019 International Conference, May 17-22, 2019 - Dallas, TX. American Thoracic Society, 2019. http://dx.doi.org/10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a7153.

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Robley, Richard, and Jonathan Wright. "#34788 Amputation pain quality improvement project." In ESRA Abstracts, 40th Annual ESRA Congress, 6–9 September 2023. BMJ Publishing Group Ltd, 2023. http://dx.doi.org/10.1136/rapm-2023-esra.603.

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McGrath, Robert, Laura McCarron, Kevin Cahill, Patricia Eadie, and Sinead Harty. "P107 Thumb auto-amputation following tourniquet syndrome." In Faculty of Paediatrics of the Royal College of Physicians of Ireland, 9th Europaediatrics Congress, 13–15 June, Dublin, Ireland 2019. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-epa.462.

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Wang, Zhuo, Xiaoli Guo, Yuanyuan Lyu, Yao Li, Jianbo Xiang, Changjie Pan, and Shanbao Tong. "Metabolic changes after amputation using magnetic resonance spectroscopy." In 2017 8th International IEEE/EMBS Conference on Neural Engineering (NER). IEEE, 2017. http://dx.doi.org/10.1109/ner.2017.8008289.

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Garcia, Katherine, Luz Tobar, Gabriela Verdezoto, and Ivan Iglesias. "Multichannel Mioelectric Evaluator for People with Transtibial Amputation." In 2019 International Conference on Information Systems and Computer Science (INCISCOS). IEEE, 2019. http://dx.doi.org/10.1109/inciscos49368.2019.00023.

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Powelson, Thomas, and Jingzhou James Yang. "Prosthetics for Transtibial Amputees: A Literature Survey." In ASME 2011 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. ASMEDC, 2011. http://dx.doi.org/10.1115/detc2011-47024.

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Approximately 82 percent of all amputations performed in the United States are transtibial amputations, in which the leg is removed below the hiee. Because the knee joint is left intact the use of prosthetics is one of the most preferred methods for returning mobility to amputees. The improvement of prosthetics for transtibial amputees is currently an area of intense research. This paper summarizes the state of the art of prosthetics for transtibial amputees by focusing on the four major components associated with standard transtibial prosthetic. The socket transfers the forces between the residual limb and the prosthetic. A suspension system ensures that solid contact is maintained between the leg and the artificial limb. The prosthetic foot is attached to the socket by a pylon, which also accounts for length of limb lost during amputation. Prosthetic feet come in many forms ranging from little more than wooden blocks to carbon fiber sprinting feet. Two recent advances in transtibial prosthetics include the procedures of direct skeletal attachment, and distal tibiofibular bone bridging which increases the weight bearing capability of the residual limb.
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Steinbrink, Scott, Julia Baumgarner, Noah Cardella, Samantha Moretti, Emily Schweitzer, and Davide Piovesan. "Boone’s Buddies: Design of a Prosthetic Rear Limb Set for Dogs With Severe Amputations." In ASME 2022 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2022. http://dx.doi.org/10.1115/detc2022-90778.

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Abstract This paper documents the design and implementation of a set of rear-limb prostheses for a dog, performed as a senior capstone design project by a team of students in the Biomedical and Mechanical Engineering programs at Gannon University. A particular target dog was selected to receive the design benefit. The unique features of this design arise from the severe nature of the dog’s amputations — the extent of injury requiring amputation resulted in very little residual limb, making secure attachment difficult. In addition, project goals included the ability to allow mobility on uneven surfaces, enhanced ability for the dog to raise and right himself, hygienic issues and ease of attachment/detachment. Benchmark studies found many competitor products on the market, but each fell short in meeting this particular dog’s needs in some way.
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Reports on the topic "Amputation"

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Harden, R. N. Pathophysiology of Post Amputation Pain. Fort Belvoir, VA: Defense Technical Information Center, October 2012. http://dx.doi.org/10.21236/ada568349.

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Harden, R. N. Pathophysiology of Post Amputation Pain. Fort Belvoir, VA: Defense Technical Information Center, October 2013. http://dx.doi.org/10.21236/ada601811.

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Ilfeld, Brian M., and Anya Morgan. Treating Intractable Post-Amputation Phantom Limb Pain with Ambulatory Continuous Peripheral Nerve Blocks. Fort Belvoir, VA: Defense Technical Information Center, January 2014. http://dx.doi.org/10.21236/ada610115.

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Buchheit, Thomas E., Hung-Lun Hsia, Andrew Shaw, Chester Buckenmaier, and Thomas Van de Ven. Regional Anesthesia and Valproate Sodium for the Prevention of Chronic Post-Amputation Pain. Fort Belvoir, VA: Defense Technical Information Center, October 2013. http://dx.doi.org/10.21236/ada598745.

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Buchheit, Thomas E., Andrew Shaw, Chester Buckenmaier, Thomas Van de Ven, and Hung-Lun Hsia. Regional Anesthesia and Valproate Sodium for the Prevention of Chronic Post-Amputation Pain. Fort Belvoir, VA: Defense Technical Information Center, October 2014. http://dx.doi.org/10.21236/ada618874.

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Jiang, Shuang, Meng-meng Zhou, Rong Xia, Jing-hui Bai, and Li-hua Yan. Gabapentin for phantom limb pain after amputation in pediatric oncology: a systematic review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, June 2020. http://dx.doi.org/10.37766/inplasy2020.6.0090.

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Pellegrini, Jr, Robertson Vincent D., Nguyen Astor, and Thao. Heterotopic Ossification Following Extremity Blast Amputation: An Animal Model in the Sprague Dawley Rat. Fort Belvoir, VA: Defense Technical Information Center, October 2012. http://dx.doi.org/10.21236/ada581902.

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Kim, Kunhyung, Kahyun Seo, Seonhee Kim, and Yoona Oh. Role of traditional, complementary and integrative medicine for people with limb amputation: a scoping review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, February 2024. http://dx.doi.org/10.37766/inplasy2024.2.0019.

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Gowrisankaran, Gautam, Claudio Lucarelli, Philip Schmidt-Dengler, and Robert Town. Can Amputation Save the Hospital? The Impact of the Medicare Rural Flexibility Program on Demand and Welfare. Cambridge, MA: National Bureau of Economic Research, March 2013. http://dx.doi.org/10.3386/w18894.

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Qiu, Mei, Liang-Liang Ding, Miao Zhang, Jin-Hao Lin, and Hai-Rong Zhou. Amputation risk with canagliflozin, empagliflozin, and dapagliflozin: a network meta-analysis of large randomized trials and cohort studies. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, September 2020. http://dx.doi.org/10.37766/inplasy2020.9.0071.

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