Outcomes After Severe Distal Tibia, Ankle, and/or Foot Trauma: Comparison of Limb Salvage Versus Transtibial Amputation (OUTLET)
| Autor: | Daniel O. Scharfstein, Michael J. Bosse, Lisa K Cannada, Lisa Reider, Saam Morshed, Barbara Steverson, Rachel B. Seymour, Metrc, Joshua L. Gary, David Teague, James Toledano, Jason Luly, Ellen J. MacKenzie |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Limb salvage Amputation Surgical 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Ankle Injuries Prospective Studies Young adult Prospective cohort study Foot Injuries 030222 orthopedics Trauma Severity Indices Tibia business.industry General Medicine Middle Aged Limb Salvage United States Surgery Tibial Fractures medicine.anatomical_structure Treatment Outcome Amputation Observational study Female Foot Injury Ankle business Foot (unit) |
| Zdroj: | Journal of orthopaedic trauma. 31 |
| ISSN: | 1531-2291 |
| Popis: | Severe foot and ankle injuries are complex and challenging to treat, often requiring multiple operations to salvage the limb contributing to a prolonged healing period. There is some evidence to suggest that early amputation for some patients may result in better long-term outcomes than limb salvage. The challenge is to identify the regional injury burden for an individual that would suggest a better outcome with an amputation. The OUTLET study is a prospective, multicenter observational study comparing 18-month outcomes after limb salvage versus early amputation among patients aged 18-60 years with severe distal tibia, ankle, and foot injuries. This study aims to build upon the previous work of the Lower Extremity Assessment Project by identifying the injury and patient characteristics that help define a subgroup of salvage patients who will have better outcomes had they undergone a transtibial amputation. |
| Databáze: | OpenAIRE |
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