A Retrospective Review of Risk Factors and Conversion Rate of Transmetatarsal Amputations to Below or Above Knee Amputation:

Foot & Ankle Orthopaedics

JeffersonSabatini¹ 

关键词: Transmetatarsal;    below knee;    above knee;    amputation;    diabetes;    reoperation;    risk factors;   

DOI  :  10.1177/2473011417S000343

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:DiabetesIntroduction/Purpose:Despite the presence of several studies examining the conversion from transmetatarsal amputation (TMA) to a more proximal amputation, few studies identified the possible predictors of failure. The objective of this study is to examine the rate of conversion of transmetatarsal amputation to below or above knee amputation, and to identify the risk factors for conversion.Methods:A retrospective cohort study was performed examining 71 transmetatarsal amputations performed by a single group of foot and ankle subspecialists within a single specialty group between October 1 2005 and August 25 2015. Demographic information and comorbidities were recorded, as were complications, readmission rate, and rate of conversion to a more proximal amputation.Results:Of the 71 patients who underwent transmetatarsal amputation during the study period, 74.7% progressed to a revision amputation or more proximal amputation at a mean of 9.7 months, but a median of only 3.2 months. 87.3% progr...

【 授权许可】

CC BY