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Analyzing Risk Factors for Sequential Above Knee Amputation after Below Knee Amputation in Surgical Treatment of Ischemic and/or Infectious Foot Disease

CATEGORY: Diabetes INTRODUCTION/PURPOSE: Some patients with below knee (BK) amputation for treatment of ischemic and/or infectious foot disease eventually further progress to above knee (AK) amputation. We aimed to analyze predictors for sequential AK amputation after BK amputation. METHODS: We retr...

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Autores principales: Kim, Ki Chun, Kim, Sung-Jae, Sung, Il-Hoon, Young, Kiwon, Lee, Kyung-tai, Lee, Hong S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8792550/
http://dx.doi.org/10.1177/2473011421S00278
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author Kim, Ki Chun
Kim, Sung-Jae
Sung, Il-Hoon
Young, Kiwon
Lee, Kyung-tai
Lee, Hong S.
author_facet Kim, Ki Chun
Kim, Sung-Jae
Sung, Il-Hoon
Young, Kiwon
Lee, Kyung-tai
Lee, Hong S.
author_sort Kim, Ki Chun
collection PubMed
description CATEGORY: Diabetes INTRODUCTION/PURPOSE: Some patients with below knee (BK) amputation for treatment of ischemic and/or infectious foot disease eventually further progress to above knee (AK) amputation. We aimed to analyze predictors for sequential AK amputation after BK amputation. METHODS: We retrospectively reviewed medical records and find 55 patients with BK amputation for surgical treatment of ischemic and/or infectious foot from 2013 to 2018. Twelve patients with sequential AK amputation after BK amputation were designated as group I, and 43 patients successfully treated with BK amputation only were designated as group II. Two groups were compared for various demographic, laboratory and physical state. Then, multivariate logistic regression analysis was done to find predictors for sequential AK amputation after BK amputation. RESULTS: In univariate analysis between two groups, only 'knee contracture' showed significant difference between two groups (p= 0.003). In multivariate logistic regression analysis performed with variables showing p <0.1 during univariate comparison, knee contracture was found to be predictor for sequential AK amputation after BK amputation (odds ratio= 34.740, p= 0.041). CONCLUSION: Patients with intractable ischemic and/or infectious foot disease with knee contracture, optimal level of amputation may be above knee level. Careful decision on amputation level can reduce surgical burden for intractable ischemic and/or infectious foot patients.
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spelling pubmed-87925502022-01-28 Analyzing Risk Factors for Sequential Above Knee Amputation after Below Knee Amputation in Surgical Treatment of Ischemic and/or Infectious Foot Disease Kim, Ki Chun Kim, Sung-Jae Sung, Il-Hoon Young, Kiwon Lee, Kyung-tai Lee, Hong S. Foot Ankle Orthop Article CATEGORY: Diabetes INTRODUCTION/PURPOSE: Some patients with below knee (BK) amputation for treatment of ischemic and/or infectious foot disease eventually further progress to above knee (AK) amputation. We aimed to analyze predictors for sequential AK amputation after BK amputation. METHODS: We retrospectively reviewed medical records and find 55 patients with BK amputation for surgical treatment of ischemic and/or infectious foot from 2013 to 2018. Twelve patients with sequential AK amputation after BK amputation were designated as group I, and 43 patients successfully treated with BK amputation only were designated as group II. Two groups were compared for various demographic, laboratory and physical state. Then, multivariate logistic regression analysis was done to find predictors for sequential AK amputation after BK amputation. RESULTS: In univariate analysis between two groups, only 'knee contracture' showed significant difference between two groups (p= 0.003). In multivariate logistic regression analysis performed with variables showing p <0.1 during univariate comparison, knee contracture was found to be predictor for sequential AK amputation after BK amputation (odds ratio= 34.740, p= 0.041). CONCLUSION: Patients with intractable ischemic and/or infectious foot disease with knee contracture, optimal level of amputation may be above knee level. Careful decision on amputation level can reduce surgical burden for intractable ischemic and/or infectious foot patients. SAGE Publications 2022-01-21 /pmc/articles/PMC8792550/ http://dx.doi.org/10.1177/2473011421S00278 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Kim, Ki Chun
Kim, Sung-Jae
Sung, Il-Hoon
Young, Kiwon
Lee, Kyung-tai
Lee, Hong S.
Analyzing Risk Factors for Sequential Above Knee Amputation after Below Knee Amputation in Surgical Treatment of Ischemic and/or Infectious Foot Disease
title Analyzing Risk Factors for Sequential Above Knee Amputation after Below Knee Amputation in Surgical Treatment of Ischemic and/or Infectious Foot Disease
title_full Analyzing Risk Factors for Sequential Above Knee Amputation after Below Knee Amputation in Surgical Treatment of Ischemic and/or Infectious Foot Disease
title_fullStr Analyzing Risk Factors for Sequential Above Knee Amputation after Below Knee Amputation in Surgical Treatment of Ischemic and/or Infectious Foot Disease
title_full_unstemmed Analyzing Risk Factors for Sequential Above Knee Amputation after Below Knee Amputation in Surgical Treatment of Ischemic and/or Infectious Foot Disease
title_short Analyzing Risk Factors for Sequential Above Knee Amputation after Below Knee Amputation in Surgical Treatment of Ischemic and/or Infectious Foot Disease
title_sort analyzing risk factors for sequential above knee amputation after below knee amputation in surgical treatment of ischemic and/or infectious foot disease
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8792550/
http://dx.doi.org/10.1177/2473011421S00278
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