| Factors associated with successful Chopart amputation in patients with diabetes: a systematic review. | |
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MedLine Citation:
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PMID: 20966454 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Chopart amputations were first performed for treatment of a non-salvageable distal foot but became unfavorable because of the development of equinovarus contractures and ulcerations. The majority of below-knee amputations today occur in ambulatory patients with diabetes in which a Chopart amputation may be a viable option; however, the durability of the residual limb is questionable. The authors undertook a systematic review of electronic databases and other relevant sources to identify material relating to the factors associated with a successful Chopart amputation in ambulatory patients with diabetes. Studies were eligible for inclusion only if they consecutively enrolled ambulatory patients with diabetes who underwent a Chopart amputation, regardless of etiology, with or without any tendinous or osseous balancing performed and had a mean follow-up of ≥12 months duration. Four studies involving 74 patients/feet were identified that met the inclusion criteria with a weighted mean follow-up of 21.1 months. The efficacy of tendinous and/or osseous balancing could not be assessed because of the lack of comparable techniques. However, review of the included studies supports that a residual functional limb can be maintained for ≥12 months with the use of a properly fitting high-profile prosthetic device for lifelong ambulation. |
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Authors:
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Valerie L Schade; Thomas S Roukis; Joyce L Yan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Foot & ankle specialist Volume: 3 ISSN: 1938-7636 ISO Abbreviation: Foot Ankle Spec Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101473598 Medline TA: Foot Ankle Spec Country: United States |
Other Details:
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Languages: eng Pagination: 278-84 Citation Subset: IM |
Affiliation:
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Limb Preservation Service, Vascular/Endovascular Surgery Service, Department of Surgery, Madigan Army Medical Center, Tacoma, Washington, USA. vlsdpm@gmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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