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Journal articles on the topic 'Amputation'

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1

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 anal
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2

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 (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 Nati
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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 (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
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4

Walter, Nike, Volker Alt, and Markus Rupp. "Lower Limb Amputation Rates in Germany." Medicina 58, no. 1 (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
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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 (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
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6

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 (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 th
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7

Leite, Jose O., Leandro O. Costa, Walter M. Fonseca, et al. "General outcomes and risk factors for minor and major amputations in Brazil." Vascular 26, no. 3 (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 r
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8

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 (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 min
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9

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 (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 peri
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10

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 (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 infe
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11

Choe, Deborah, Andrew Humbert, Erin Wolfe, et al. "565 Pediatric Patients with Post-Burn Amputations Report Worse Long-Term Physical Function but Not Self Appearance." Journal of Burn Care & Research 45, Supplement_1 (2024): 157. http://dx.doi.org/10.1093/jbcr/irae036.199.

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Abstract Introduction Amputation after burn injury may improve survival rates; however, the physical changes and functional impairments resulting from amputation can have long-term consequences. A prior Burn Model System (BMS) national database study found that post-burn amputation among adults was negatively correlated with mental health scores but positively correlated with physical function scores at 6-months post-burn. However, no study has examined long-term outcomes associated with post-burn amputation in the pediatric population. This study investigates longitudinal functional and psych
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12

Pohjolainen, T., and H. Alaranta. "Lower limb amputations in Southern Finland 1984-1985." Prosthetics and Orthotics International 12, no. 1 (1988): 9–18. http://dx.doi.org/10.3109/03093648809079386.

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To assess the current epidemiological situation concerning lower limb amputations in southern Finland the data on all amputations made in the catchment area of the Helsinki University Central Hospital were analysed for the period 1984-85. During the two-year period, 880 amputations of lower limbs were performed on 705 patients. The amputation rate was 32.5 per 100,000 inhabitants in 1984 and 28.1 in 1985. Patients requiring amputation were arteriosclerotics in 43.1 per cent, and diabetics in 40.7 per cent. Diabetics underwent amputation 3 years younger on average than the arteriosclerotics. Th
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Trier Heiberg Brix, Anna, Katrine Hass Rubin, Tine Nymark, Hagen Schmal, and Martin Lindberg-Larsen. "Major lower extremity amputations – risk of re-amputation, time to re-amputation, and risk factors: a nationwide cohort study from Denmark." Acta Orthopaedica 95 (February 2, 2024): 86–91. http://dx.doi.org/10.2340/17453674.2024.39963.

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Background and purpose: Re-amputation after lower extremity amputation is frequent. The primary aim of our study was to investigate cumulative re-amputation risk after transtibial amputation (TTA), knee disarticulation (KD), and transfemoral amputation (TFA) and secondarily to investigate time to re-amputation, and risk factors.Methods: This observational cohort study was based on data from the Danish Nationwide Health registers. The population included first-time major lower extremity amputations (MLEA) performed in patients ≥ 50 years between 2010 and 2021. Both left and right sided MLEA fro
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14

UR-REHMAN, KHALIL, and ATIF UR-REHMAN. "DIABETIC PATIENT." Professional Medical Journal 14, no. 02 (2007): 248–54. http://dx.doi.org/10.29309/tpmj/2007.14.02.4884.

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Introduction: Limb loss is most feared complication of diabetes. The statistics associated withamputation create a very real concern. Fifty percent of all non-traumatic amputations occur in the diabetic patient. Therisk of a leg amputation is 15 to 40 times greater for a person with diabetes. Each year, six of every thousand diabeticindividuals undergo surgery for an amputation. Objectives: To evaluate the frequency of lower limb amputations indiabetic patients, hence emphasizing the importance of timely surgical intervention in salvage of lower limb and toreduce the morbidity and mortality. S
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Gürsan, Onur, Mustafa Çeltik, and Cihangir Türemiş. "Predisposal factors leading to early re-amputation among diabetic patients who underwent minor amputation." Journal of Surgery and Medicine 7, no. 8 (2023): 514–17. http://dx.doi.org/10.28982/josam.7933.

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Background/Aim: Prolonged wound complications and the possibility of reoperations are significant outcomes following minor amputations. As time progresses after the initial surgery, re-amputations become more prevalent. Contrary to prevailing beliefs, the incidence of early amputations remains consistent. Additionally, it is widely acknowledged that the first 6 months following the initial surgery pose the highest risk period for reoperation. This retrospective clinical study aims to investigate the risk factors contributing to ipsilateral re-amputation procedures within 6 months of the initia
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16

Williams, Zachary F., Lindsay M. Bools, Ashley Adams, Thomas V. Clancy, and William W. Hope. "Early versus Delayed Amputation in the Setting of Severe Lower Extremity Trauma." American Surgeon 81, no. 6 (2015): 564–68. http://dx.doi.org/10.1177/000313481508100618.

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Leg-threatening injuries present patients and clinicians with the difficult decision to pursue primary amputation or attempt limb salvage. The effects of delayed amputation after failed limb salvage on outcomes, such as prosthetic use and hospital deposition, are unclear. We evaluated the timing of amputations and its effects on outcomes. We retrospectively reviewed all trauma patients undergoing lower extremity amputation from January 1,2000 through December 31, 2010 at a Level 2 trauma center. Patients undergoing early amputation (amputation within 48 hours of admission) were compared with p
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17

Tosun, Bilgehan, Levent Buluc, Umit Gok, and Cigdem Unal. "Boyd Amputation in Adults." Foot & Ankle International 32, no. 11 (2011): 1063–68. http://dx.doi.org/10.3113/fai.2011.1063.

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Background: Foot ulcerations resulting in amputation are one of the most devastating consequences of diabetes mellitus and peripheral arterial disease. In foot amputations, Boyd amputation has been even less accepted than Syme amputation due to its dependence on calcaneotibial osseous union in adults. Methods: Fifteen Boyd amputations were performed for 14 adults. The indications for amputation were diabetic ulceration of the foot in eight patients, ischemic disease of the lower extremity in four and salvage of the deformed foot due to peripheral neuropathy in one patient. One patient with scl
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18

Macedo, Rodrigo Sousa, Eduardo Ramon Da Cruz, Dov Rosemberg, et al. "Bone Spicule Formation in Transtibial Amputation in Pediatric Patients." Journal of the Foot & Ankle 19, no. 1 (2025): 1–6. https://doi.org/10.30795/jfootankle.2025.v19.1849.

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Objective: Amputating a limb during childhood is a rare yet significant event often perceived as a catastrophe by families and subsequently by the child. A multidisciplinary team, including wound care, rehabilitation, and prosthesis fitting specialists, plays a crucial role in managing these patients. The objective of this study is to retrospectively evaluate transtibial amputations performed on children aiming to assess the percentage of individuals who developed symptomatic spurs after the initial amputation procedure. Method: This study retrospectively evaluates transtibial amputations perf
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19

Durusoy, R., A. Davas, M. Kayalar, E. Bal, F. Aksu, and S. Ada. "What kinds of hand injuries are more likely to result in amputation? An analysis of 6549 hand injuries." Journal of Hand Surgery (European Volume) 36, no. 5 (2011): 383–91. http://dx.doi.org/10.1177/1753193411400520.

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We analysed 6549 hand injuries treated between 1992 and 2005 at a specialist hospital in Turkey to identify risk factors for amputations. There were 2899 (44%) hand amputations. Left-side injuries were more prone to amputation. The risk of amputation was higher in men, workers and those in the 15–24 and 45–54 year-old age groups. Compared to home, commercial areas were the places with highest risk, followed by farms and industrial/construction areas. The majority of amputations occurred in industrial/construction areas (87%). Among objects/substances producing injury, watercraft led to the hig
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20

Rogers, Lee C., and Nicholas J. Bevilacqua. "Organized Programs to Prevent Lower-Extremity Amputations." Journal of the American Podiatric Medical Association 100, no. 2 (2010): 101–4. http://dx.doi.org/10.7547/1000101.

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Background: Diabetes-related lower-extremity amputations are largely preventable. Eighty-five percent of amputations are preceded by a foot ulcer. Effective management of ulcers, which leads to healing, can prevent limb loss. Methods: In a county hospital, we implemented a six-step approach to the diabetic limb at risk. We calculated the frequency and level of lower-extremity amputations for 12 months before and 12 months after implementation of the amputation prevention program. We also calculated the high-low amputation ratio for the years reviewed. The high-low amputation ratio is a quality
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Berli, Martin C., Florian Wanivenhaus, Method Kabelitz, et al. "Predictors for reoperation after lower limb amputation in patients with peripheral arterial disease." Vasa 48, no. 5 (2019): 419–24. http://dx.doi.org/10.1024/0301-1526/a000796.

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Summary. Background: Major amputations in patients with peripheral arterial disease (PAD) carry a high risk for complications, including revision of the amputation, sometimes to a higher level. Determining a safe level for amputation with good wound healing potential depends largely on vascular measurements. This study evaluated potential predictive factors for revision of major lower extremity amputations in patients with PAD. Patients and methods: A retrospective chart review of all major lower extremity amputations at our institution was conducted. Amputations due to trauma or tumor and bel
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Buryanov, A. A., A. A. Bespalenko, Ie V. Tsema, and A. V. Dinets. "LIMB AMPUTATIONS IN MILITARY PERSONNEL DUE TO ARTILLERY STRIKES IN THE AREA OF THE ANTITERRORIST OPERATION (ATO) IN EAST UKRAINE." Ukrainian Scientific Medical Youth Journal 103, no. 3 (2017): 15–19. http://dx.doi.org/10.32345/usmyj.3(103).2017.15-19.

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The aim – to investigate and evaluate amputations of extremities due to the trikes of artillery against military personnel of the Armed Forces of Ukraine (AFU) within the area of the Antiterrorist Operation (ATO) in East Ukraine. 
 Patients and methods. All military personnel of the AFU within ATO was eligible for the study with diagnosis of limb amputations in the period from 01.06.2014 to 30.06.2016, and who were treated in hospitals of the Ministry of Defense of Ukraine. Among 7091 patients with injuries, 152 patients with limb amputations were identified.
 Results and discussion.
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Bespalenko, A. A., A. A. Buryanov, Ie V. Tsema, and A. V. Dinets. "LIMBS REAMPUTATIONS IN MILITARY PERSONNEL INJURED IN THE AREA OF THE ANTITERRORIST OPERATION IN EAST UKRAINE." Ukrainian Scientific Medical Youth Journal, no. 1(105) (September 14, 2018): 5–10. http://dx.doi.org/10.32345/usmyj.1(105)().2018.5-10.

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The aim – to identify and analyze causes for reamputations in military personnel with limb amputations due to ATO in East Ukraine. Patients and methods. All military personnel of the AFU within ATO was eligible for the study with diagnosis of limb amputations in the period from 01.06.2014 to 30.06.2016, and which were treated in hospitals of the Ministry of Defense of Ukraine. Among 7091 patients with injuries, 152 patients with limb amputations were identified.
 Results and discussion. Out of 152 patients, 25 (16%) underwent limbs reamputation, whereas 127 (84%) patients underwent amputa
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Bespalenko, А. А., А. А. Buryanov, Ie V. Tsema, and A. V. Dinets. "LIMBS REAMPUTATIONS IN MILITARY PERSONNEL INJURED IN THE AREA OF THE ANTITERRORIST OPERATION IN EAST UKRAINE." Ukrainian Scientific Medical Youth Journal 105, no. 1 (2018): 5–10. http://dx.doi.org/10.32345/usmyj.1(105).2018.5-10.

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The aim – to identify and analyze causes for reamputations in military personnel with limb amputations due to ATO in East Ukraine. Patients and methods. All military personnel of the AFU within ATO was eligible for the study with diagnosis of limb amputations in the period from 01.06.2014 to 30.06.2016, and which were treated in hospitals of the Ministry of Defense of Ukraine. Among 7091 patients with injuries, 152 patients with limb amputations were identified.
 Results and discussion. Out of 152 patients, 25 (16%) underwent limbs reamputation, whereas 127 (84%) patients underwent amputa
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Jandric, Slavica, and Brano Topic. "Effect of primary and secondary wartime below-knee amputation on length of hospitalization and rehabilitation." Vojnosanitetski pregled 59, no. 3 (2002): 261–64. http://dx.doi.org/10.2298/vsp0203261j.

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The results of below-knee amputations in 36 war wounded (mean age 35,42) were reviewed. The majority of the patients was wounded by land mines (94.4%). Most of them were between 25 and 35 years old. Bilateral amputation was done in 2.8% of cases. The amputation was performed on the day of wounding (primary below-knee amputation) in 30 (83.3%) amputees. Secondary amputation after the attempt to save the severely injured lower-limb was performed in 6 patients (16,7%) average 4.61 ? 11.67 days after wounding. Reamputation was necessary in 6 cases (16.7%). Time period from the beginning of rehabil
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26

Ebskov, L. B. "Level of lower limb amputation in relation to etiology: An epidemiological study." Prosthetics and Orthotics International 16, no. 3 (1992): 163–67. http://dx.doi.org/10.3109/03093649209164335.

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The Danish Amputation Register and the nationwide National Patient Register are presented. Based upon the code numbers in the WHO classification system (ICD), 4 etiology groups i.e. vascular insufficiency, diabetes mellitus, malignant neoplasma and trauma were extracted. The purpose was to analyse the relationship between level of amputation (i.e. foot, below-knee, through-knee, above-knee and hip) and etiology (cause of amputation). The material represents all such amputations in Denmark during the period 1978 to 1989 (n=25.767). The number of amputations because of vascular insufficiency wit
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Chung, Hyung-Jin, Dong-Il Chun, Eun Myeong Kang, et al. "Trend and Seasonality of Diabetic Foot Amputation in South Korea: A Population-Based Nationwide Study." International Journal of Environmental Research and Public Health 19, no. 7 (2022): 4111. http://dx.doi.org/10.3390/ijerph19074111.

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The number of lower extremity amputations in diabetic foot patients in Korea is increasing annually. In this nationwide population-based retrospective study, we investigated the data of 420,096 diabetes mellitus patients aged ≥18 years using the Korean Health Insurance Review and Assessment Service claim database. We aimed to study the seasonal and monthly trends in diabetic foot amputations in Korea. After applying the inclusion criteria, 8156 amputation cases were included. The analysis showed an increasing trend in monthly amputation cases. In terms of seasonality, the monthly frequency of
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Heikkinen, M., J. Saarinen, V. P. Suominen, J. Virkkunen, and J. Salenius. "Lower limb amputations: Differences between the genders and long-term survival." Prosthetics and Orthotics International 31, no. 3 (2007): 277–86. http://dx.doi.org/10.1080/03093640601040244.

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The purpose of the study was to evaluate possible differences between genders in amputation incidence, revascularization activity before and survival after amputation. This population-based study was carried out in a well-defined geographical area, where all vascular surgical consultations and reconstructions are performed in one university hospital. All amputations performed in the region during 1990 – 1999 were identified from the hospital central registers. According to patient's identity codes, the Cause of Death Registry of Statistics Finland provided death data. Amputation data were cros
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Chukwuemeka, Ndubuisi Chibuzom, and Stanley Egele Chukwuemeka. "The Profile of Childhood Amputations in a Tertiary Institution in North Central Nigeria. A 10 Year Retrospective Study." Trop J Med Res 21, no. 2 (2023): 139–46. https://doi.org/10.5281/zenodo.7792170.

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<strong>ABSTRACT</strong> <strong>Background</strong>: Amputation is the removal of a limb or part of the limb through bone. Amputation affects a child&#39;s emotional, psychological, and social development and might lead to poor performance at school. <strong>Objectives</strong>: To analyze the profile of childhood amputations done in Dalhatu-Arafat Specialist hospital Nasarawa, North-Central, Nigeria. <strong>Materials and Methods</strong>: Medical records of all consecutive patients who had amputations done between January 2012 and December 2021 who were 18 years and below were retrieved fr
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Vasudeva, Varun, Adam Parr, Alan Loch, and Chris Wall. "What happens to our amputees? The Darling Downs experience." Journal of Orthopaedic Surgery 28, no. 3 (2020): 230949902095847. http://dx.doi.org/10.1177/2309499020958477.

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Background: Major lower limb amputation is occasionally required in the management of end-stage pathology where other treatment options have failed. The primary aim of this study was to determine the 30-day and 1-year mortality rates of patients undergoing nontraumatic major lower limb amputation. Secondary aims were to investigate risk factors for poor outcomes, incidence of previous minor amputation, and the rate of subsequent major amputation. Methods: All nontraumatic, major lower limb amputations performed at Toowoomba Hospital during an 18-year period were retrospectively reviewed. Morta
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Yu, Justin, Jai Joshi, Carmen Wong, et al. "Lessons Learned: A Disruption in Care Leads to Increased Rates of Proximal Amputations." Wound Management & Prevention 69, no. 1 (2023): 49–57. http://dx.doi.org/10.25270/wmp.2023.1.4957.

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BACKGROUND: In March 2020, due to the COVID-19 pandemic, hospitalizations in New York state were restricted to emergency purposes. Non-COVID related cases involving lower extremity wounds were only admitted for acute infections and limb salvage. Patients with these conditions were placed at higher risk for eventual limb loss. PURPOSE: To understand the impact of COVID-19 on amputation rates. METHODS: A retrospective review of lower limb institution-wide amputations was conducted at Northwell Health from January 2020 to January 2021. The amputation rates during the COVID-19 shutdown period were
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Sunil, Thankam, Amanda Limon, and Lyssa Ochoa. "Lower Extremity Amputation among Diabetic Patients in San Antonio, Texas." Hispanic Health Care International 17, no. 2 (2019): 73–78. http://dx.doi.org/10.1177/1540415319828267.

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Background: In the United States, ethnic minorities are disproportionately affected by diabetes-related lower extremity amputations (LEA) and have higher associated mortality rates than non-Hispanic Whites. Bexar County, a county in south Texas, had higher diabetes rates than both Texas and the national average. Bexar County also had one of the highest LEA hospital admission rates in the State. Aim: Elucidate diabetes-related LEA factors to assist policy makers and health professionals develop more effective interventions. Results: For participants who had more than one amputation, the time be
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Yuzuguldu, Burak, Bugra Zengin, Ilgin Yildirim Simsir, and Sevki Cetinkalp. "An Overview of Risk Factors for Diabetic Foot Amputation: An Observational, Single-centre, Retrospective Cohort Study." European Endocrinology 19, no. 1 (2023): 85. http://dx.doi.org/10.17925/ee.2023.19.1.85.

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Introduction: Not only are early detection and treatment of diabetic foot ulcers important, but also acknowledging potential risk factors for amputation gives clinicians a considerable advantage in preventing amputations. Amputations impact both healthcare services and the physical and mental health of patients. This study aimed to investigate the risk factors for amputation in patients with diabetic foot ulcers. Methods: The sample for this study was patients with diabetic foot ulcers who were treated by the diabetic foot council at our hospital between 2005 and 2020. A total of 32 risk facto
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SOOMRO, NABILA, RUKHSANA BIBI, SYED IMRAN AHMED, Brigitte Kamran, Muhammad Ali Minhas, and Kamran Yousuf Siddiqui. "EPIDEMIOLOGY OF AMPUTATION;." Professional Medical Journal 20, no. 02 (2013): 261–65. http://dx.doi.org/10.29309/tpmj/2013.20.02.685.

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Amputation is stated to be a foremost but preventable community health problem causing intense financial, social andemotional effects on the patient and family particularly in developing countries where the prosthetic services are limited. The purpose ofthis study was to identify the causes and levels of amputation in low resource community, Sindh Pakistan. Methods: This was aretrospective chart review study that was carried out at first civilian Institute of physical medicine &amp; rehabilitation-Dow University of healthsciences from October 2007 to June 2012. After verbal informed consent al
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JENSEN, C. M., M. HAUGEGAARD, and S. W. RASMUSSEN. "Amputations in the Treatment of Dupuytren’s Disease." Journal of Hand Surgery 18, no. 6 (1993): 781–82. http://dx.doi.org/10.1016/0266-7681(93)90245-b.

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23 finger amputations in 19 patients operated on for Dupuytren’s disease were reviewed 6 months to 8.5 years after operation (mean 4 years). The distribution of amputations were 17 little fingers and six ring fingers. We found a recurrent lack of extension in nine out of 16 finger amputations distal to the MP joint and painful neuroma or phantom limb pain in five out of seven little finger amputations through or proximal to the MP joint. When amputation in the little finger is necessary, disarticulation of the MP joint may be preferable to amputation at a more distal level. Alternatives to fin
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Brauckmann, Vesta, Ole Moritz Block, Luis A. Pardo, et al. "Can Early Post-Operative Scoring of Non-Traumatic Amputees Decrease Rates of Revision Surgery?" Medicina 60, no. 4 (2024): 565. http://dx.doi.org/10.3390/medicina60040565.

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Background and Objectives: Medical registries evolved from a basic epidemiological data set to further applications allowing deriving decision making. Revision rates after non-traumatic amputation are high and dramatically impact the following rehabilitation of the amputee. Risk scores for revision surgery after non-traumatic lower limb amputation are still missing. The main objective was to create an amputation registry allowing us to determine risk factors for revision surgery after non-traumatic lower-limb amputation and to develop a score for an early detection and decision-making tool for
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Ohmine, Saburo, Yoshiko Kimura, Satoru Saeki, and Kenji Hachisuka. "Community-based survey of amputation derived from the physically disabled person’s certification in Kitakyushu City, Japan." Prosthetics and Orthotics International 36, no. 2 (2012): 196–202. http://dx.doi.org/10.1177/0309364611433443.

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Background: There were no recent reports of community-based surveys on the incidence, level and causes of amputation in Japan.Objectives: To identify any changes in the incidence, level, causes of amputation and gender distribution.Study Design: A community-based survey.Methods: The subjects were Kitakyushu-citizens amputated between 2001 and 2005 and selected based on medical certificates for the physically disabled person’s certificate.Results: The incidence of amputation (/100,000 population per year) was 6.9 overall, 1.4 for upper limbs and 5.8 for lower limbs. The average age at amputatio
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Fahim Sakhizada, Muhammad Aqib, Aliya Shaima, Fatima Shahzad, Fahad Akhtar, and S H Waqar. "Outcome of Lower Limb Amputation Performed in General Surgery Department." Annals of PIMS-Shaheed Zulfiqar Ali Bhutto Medical University 20, no. 3 (2024): 304–8. http://dx.doi.org/10.48036/apims.v20i3.1127.

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Objective: To evaluate the outcomes of lower extremity amputation at a tertiary care hospital in Pakistan. Methodology: This cross-sectional study was conducted at the Department of General Surgery, Pakistan Institute of Medical Sciences, Islamabad for two years. All adult patients who underwent any form of lower limb amputation were included in the study. The data regarding their demographics, risk factors, indications of amputation, type of amputation and outcome was collected from patients on a prescribed proforma and were analyzed using SPSS version 22. Results: There were a total of 73 pa
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Al-Thani, Hassan, Brijesh Sathian, and Ayman El-Menyar. "Assessment of healthcare costs of amputation and prosthesis for upper and lower extremities in a Qatari healthcare institution: a retrospective cohort study." BMJ Open 9, no. 1 (2019): e024963. http://dx.doi.org/10.1136/bmjopen-2018-024963.

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ObjectivesTo evaluate the healthcare cost of amputation and prosthesis for management of upper and lower extremities in a single institute.DesignRetrospective cohort study conducted between 2000 and 2014.ParticipantsAll patients who underwent upper (UEA) and lower extremities amputation (LEA) were identified retrospectively from the operating theatre database. Collected data included patient demographics, comorbidities, interventions, costs of amputations including hospitalisation expenses, length of hospital stay and mortality.Outcome measuresIncidence, costs of amputation and hospitalisation
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CHANG, J., and N. F. JONES. "Simultaneous Toe-to-Hand Transfer and Lower Extremity Amputations for Severe Upper and Lower Limb Defects: The Use of Spare Parts." Journal of Hand Surgery 27, no. 3 (2002): 219–23. http://dx.doi.org/10.1054/jhsb.2001.0735.

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From 1995 to 2000, five microvascular toe-to-hand transfers were performed in three children who were simultaneously undergoing lower extremity amputations. Their ages at time of transfer ranged from 4 to 10 years and the types of lower extremity amputation included toe amputation, foot amputation and through-knee amputation. The resulting toe-to-hand transfers included three great toe-to-thumb transfers and one combined great and second toe-to-hand transfer. The toe-to-hand transfers were all successful and all the lower extremity amputations healed without complications. In all cases, improv
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Baidoo, R. O., and S. Debrah. "Major Extremity Amputation: The Koforidua Experience." Postgraduate Medical Journal of Ghana 5, no. 2 (2022): 68–70. http://dx.doi.org/10.60014/pmjg.v5i2.161.

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Background: Major extremity amputation is a relatively common surgical procedure but there is a paucity of local data concerning such an important part of surgical practice. This study was undertaken to unearth the demographics, the common indications, levels, revision and mortality rates of major extremity amputation in a large orthopaedic facility in Ghana.Methods: A retrospective study of 94 consecutive patients with 95 major limb amputations between September 2010 to August 2013 was conducted and the results analysed.Results: Overall, the commonest indication for amputation was trauma whic
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Lakstein, Dror, Alexander Lipkin, Louis Schorr, and Zeev Feldbrin. "Primary Closure of Elective Toe Amputations in the Diabetic Foot—Is it Safe?" Journal of the American Podiatric Medical Association 104, no. 4 (2014): 383–86. http://dx.doi.org/10.7547/0003-0538-104.4.383.

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Background Toe amputation is the most common partial foot amputation. Controversy exists regarding whether to primarily close toe amputations or to leave them open for secondary healing. The purpose of this study was to evaluate the results of closed toe amputations in diabetic patients, with respect to wound healing, complications, and the need for further higher level amputation. Methods We retrospectively reviewed the results of 40 elective or semi-elective toe amputations with primary closure performed in 35 patients treated in a specialized diabetic foot unit. Patients with abscesses or n
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Takeuchi, Hisataka, Ryosuke Ikeguchi, Mutsumi Watanabe, Tadashi Yasuda, and Shuichi Matsuda. "Postoperative Evaluation of Patient Satisfaction and Tingling Sensation after Replantation Surgery without Nerve Repair for Complete Digital Amputation." Journal of Reconstructive Microsurgery Open 02, no. 01 (2017): e19-e22. http://dx.doi.org/10.1055/s-0037-1598249.

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Background When performing replantation surgery for complete fingertip amputation, we do not perform digital nerve repair. We hypothesized that this method would not decrease patient satisfaction. Methods Between July 2011 and August 2013, we performed replantation surgery for 21 complete digital amputations in 18 patients. Digital nerves were not repaired for fingertip amputations. For proximal to distal interphalangeal joint amputations (proximal amputation), however, we repaired as many digital nerves as possible. We followed 17 replanted fingers in 14 patients (fingertip, 9 fingers in 9 pa
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Moysidis, Nowack, Eickmeyer, et al. "Trends in amputations in people with hospital admissions for peripheral arterial disease in Germany." Vasa 40, no. 4 (2011): 289–95. http://dx.doi.org/10.1024/0301-1526/a000117.

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Background: Using the information of the federal statistics, a detailed description of the hospitalisation rate for amputation in Germany was possible for the first time, and trends since 2005 can be reported. Patients and methods: Detailed lists of all amputations coded as minor amputations (OPS 5 - 864) and major amputations (OPS 5 - 865) performed in 2005 and 2008, divided into the 4th and 5th number of the OPS-code, were provided by the Federal Statistical Office. Results: Despite an increase in total number of hospitalized patients suffering from peripheral arterial disease and neurovascu
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Noori, Naudereh B., Lee Haruno, Ian Schroeder, Mark Vrahas, Milton T. Little, and Carol Lin. "Do Pre-Operative Transcutaneous Oxygen Perfusion Measurements Predict Atraumatic Major Lower Extremity Amputation Wound Healing?" Foot & Ankle Orthopaedics 5, no. 4 (2020): 2473011420S0036. http://dx.doi.org/10.1177/2473011420s00369.

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Category: Other Introduction/Purpose: Determining appropriate amputation level is a challenging task requiring clinical, laboratory, and imaging data. However, there is no validated consensus on the method with the most prognostic accuracy. Transcutaneous oxygen perfusion measurement (TcPO2) is a noninvasive means of measuring tissue oxygenation. A TcPO2 &gt; 30-40mm Hg is widely cited as a positive predictor of post-operative wound healing, but its validity has not been well defined. We hypothesized that TcPO2 levels positively correlate with the success of amputation wound healing. Additiona
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Brodell, James D., Judith F. Baumhauer, Benefict F. DiGiovanni, A. Samuel Flemister, John P. Ketz, and Irvin Oh. "Should Chopart Amputation be Performed in Diabetic Foot Ulcer Patients?" Foot & Ankle Orthopaedics 4, no. 4 (2019): 2473011419S0011. http://dx.doi.org/10.1177/2473011419s00118.

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Category: Diabetes, Midfoot/Forefoot Introduction/Purpose: Diabetic foot ulcers (DFU) with deep infections and osteomyelitis often lead to partial or complete limb loss. Determination of the appropriate level for amputation is challenging, and is a complex decision based on the patient’s function at baseline, extent of infection, vascular patency and comorbidities. Although Chopart amputation preserves greater limb length than Syme amputation, additional procedures, such as Achilles tenectomy and tendon transfers are necessary to optimize residual foot function. Challenges with wound healing a
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Nisihara, Renato, Julia Maria Ramos, Gabriela Rizental Rodrigues, Antonio Lacerda Santos Filho, and Thelma Larocca Skare. "Clinical profile of limb amputation cases." Scientia Medica 35, no. 1 (2025): e46486. https://doi.org/10.15448/1980-6108.2025.1.46486.

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Objective: to identify the profile of patients who underwent limb amputation in a sample of Brazilian patients.Method: a retrospective study was conducted by reviewing the medical records of patients who sought medical care between January 2011 and December 2020 at a single tertiary referral university hospital. Data collection included age, sex, indications for amputation, amputated limb, level of amputation, and comorbidities.Results: four hundred medical records of amputation cases were reviewed. The median age of the patients was 71 (63-80) years, and the majority were male (69%). Diabetes
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Greitemann. "Extremitätenerhaltende Amputations- und Resektionstechniken am Fuß." Vasa 38, Supplement 74 (2009): 37–53. http://dx.doi.org/10.1024/0301-1526.38.s74.37.

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Die wesentlichen ätiologischen Enthitäten für Amputationen an der unteren Extremität sind der Diabetes mellitus und die Durchblutungsstörungen. Gerade bei diesen Ursachen kommt es durch die begleitende Multimorbidität des Patienten häufig zu erheblichen Rehabilitationsbehinderungen und Invalidisierungen mit hohen Teilhabestörungen durch hohe Amputationen. Extremitäten erhaltende Amputations- und Resektionstechniken im Fußbereich sind speziell beim Diabetes mellitus daher von besonderer Bedeutung, da der Patient ein hohes Risiko hat, auch auf der Gegenseite eine Amputation zu erleiden. Profunde
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Ólafsdóttir, Arndís Finna, Ann-Marie Svensson, Aldina Pivodic, et al. "Excess risk of lower extremity amputations in people with type 1 diabetes compared with the general population: amputations and type 1 diabetes." BMJ Open Diabetes Research & Care 7, no. 1 (2019): e000602. http://dx.doi.org/10.1136/bmjdrc-2018-000602.

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ObjectiveThis study investigates how the excess risk of lower extremity amputations (amputations) in people with type 1 diabetes mellitus (DM) differs from the general population by diabetes duration, glycemic control, and renal complications.Research design and methodsWe analyzed data from people with type 1 DM from the Swedish National Diabetes Register without prior amputation from January 1998 to December 2013. Each person (n=36 872) was randomly matched with five controls by sex, age, and county (n=184 360) from the population without diabetes. All were followed until first amputation, de
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Chung, Pui M., Bolton KH Chau, Esther C.-S. Chow, Kwok H. Lam, and Nang MR Wong. "Factors that affect the one-year mortality rate after lower limb amputation in the Hong Kong Chinese population." Journal of Orthopaedics, Trauma and Rehabilitation 28 (January 2021): 221049172110569. http://dx.doi.org/10.1177/22104917211056949.

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Introduction Lower limb amputation has significant morbidity and mortality. This study reviews the potential factors affecting the one-year mortality rate after lower limb amputation in the Hong Kong Chinese population. Methods Cases with lower limb amputations (toe, ray, below-knee, and above-knee amputations) from a regional hospital from January 2016 to December 2017 were recruited. Amputations due to trauma were excluded. The one-year mortality rate and the potential risk factors (age, sex, length-of-stay, multiple operations, extent of surgery (minor vs. major), medical comorbidities incl
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