Document Detail


Can patterns of segmental injuries of the foot and ankle predict amputation and disability?
MedLine Citation:
PMID:  19843438     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of the study was to determine the risk of digital or distal segmental amputation and permanent unemployment in patients with these injury patterns. A retrospective chart review of 23 patients with multiple, ipsilateral injuries of the foot and ankle was performed. Amputations occurred in five patients (21.7%) and were most common in those with three-level injuries. Odds ratios showed that patients with an amputation were 9.75 times more likely to have a three-level injury than a two-level injury. At a mean follow-up of 12.9 months, 12 patients had not returned to work (60%), seven returned with restrictions, and only one patient returned to preinjury activities. It was concluded that patients with segmental foot and ankle injuries are at risk for amputation of the distal portion of the involved extremity and inability to return to their preinjury employment level (disability).
Authors:
Jacob M Lantry; Venkatachalapathy Perumal; Craig S Roberts
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of surgical orthopaedic advances     Volume:  18     ISSN:  1548-825X     ISO Abbreviation:  J Surg Orthop Adv     Publication Date:  2009  
Date Detail:
Created Date:  2009-10-21     Completed Date:  2009-12-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101197881     Medline TA:  J Surg Orthop Adv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  134-8     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, University of Louisville School of Medicine, Louisville, KY 40202, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amputation*
Ankle Injuries / surgery*
Crush Syndrome / diagnosis,  surgery
Female
Foot Injuries / surgery*
Fracture Fixation, Internal
Fractures, Open / diagnosis,  surgery*
Humans
Injury Severity Score*
Male
Middle Aged
Predictive Value of Tests
Retrospective Studies
Sick Leave*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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