{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T14:57:17Z","timestamp":1761058637196},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[1991,12,1]],"date-time":"1991-12-01T00:00:00Z","timestamp":691545600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1991,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>From January 1985 to December 1989, 500 consecutive patients presented to a single vascular unit with limb-threatening acute or critical ischaemia. Vascular reconstruction was attempted unless the patient had insufficient viable tissue to permit weight bearing or complete absence of run-off vessels in the calf. Fifty patients underwent a primary amputation and 450 patients underwent vascular reconstruction, of whom 265 had a femorocrural bypass. Sixty secondary amputations were performed following femorocrural bypass failure. The below-knee amputation to above-knee amputation ratio (BKA:AKA) was 2.0 in the primary amputation group and 1.1 in the secondary amputation group. Direct comparison between the two groups is not valid as they are clinically different. The combined BKA:AKA ratio was 1.4. This compares favourably with the BKA:AKA ratio of recent published series and figures from the National Amputation and Limb Fitting Services. It suggests that an unselective policy of vascular reconstruction for critical ischaemia does not lead to a higher proportion of above-knee amputations.<\/jats:p>","DOI":"10.1002\/bjs.1800781223","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T15:16:28Z","timestamp":1172934988000},"page":"1479-1481","source":"Crossref","is-referenced-by-count":20,"title":["Failed femorocrural reconstruction does not prejudice amputation level"],"prefix":"10.1093","volume":"78","author":[{"given":"G M K","family":"Tsang","sequence":"first","affiliation":[{"name":"Department of Surgery, Selly Oak Hospital , Birmingham,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M C","family":"Crowson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Good Hope General Hospital , Sutton Coldfield,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N C","family":"Hickey","sequence":"additional","affiliation":[{"name":"Department of Surgery, Selly Oak Hospital , Birmingham,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M H","family":"Simms","sequence":"additional","affiliation":[{"name":"Department of Surgery, Selly Oak Hospital , Birmingham,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1991,12,1]]},"reference":[{"key":"2024092809024298500_bib1","volume-title":"Vascular Surgery","author":"Rutherford","year":"1989","edition":"3rd"},{"key":"2024092809024298500_bib2","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1002\/bjs.1800730908","article-title":"Changing patterns of lower limb amputation for vascular disease","volume":"73","author":"Sethia","year":"1986","journal-title":"Br J Surg"},{"key":"2024092809024298500_bib3","first-page":"A347","article-title":"Rehabilitation of patients after vascular reconstruction for critical limb ischaemia","volume":"77","author":"Shearman","year":"1990","journal-title":"Br J Sure"},{"key":"2024092809024298500_bib4","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1002\/bjs.1800770630","article-title":"Emergency arterial reconstruction for acute ischaemia","volume":"77","author":"Hickey","year":"1990","journal-title":"Br J Surg"},{"key":"2024092809024298500_bib5","first-page":"737","article-title":"European consensus on critical limb ischaemia","volume":"i","year":"1989","journal-title":"Lancet"},{"key":"2024092809024298500_bib6","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1136\/bmj.293.6554.1086","article-title":"Non-invasive femoropopliteal assessment: is that angiogram really necessary?","volume":"293","author":"Shearman","year":"1986","journal-title":"Br Med J"},{"key":"2024092809024298500_bib7","first-page":"248","volume-title":"Distal bypass using in-situ vein","author":"McCollum","year":"1988"},{"key":"2024092809024298500_bib8","first-page":"667","article-title":"Limb-threatening ischaemia in the medically compromised patient: amputation or reconstruction?","volume":"104","author":"Ouriel","year":"1988","journal-title":"Surger"},{"key":"2024092809024298500_bib9","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/S0002-9610(05)80310-1","article-title":"Effect of failed distal reconstruction on the level of amputation","volume":"160","author":"Evans","year":"1990","journal-title":"Am J Surg"},{"key":"2024092809024298500_bib10","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1002\/bjs.1800760917","article-title":"Operative assessment of femorodistal bypass grafts using a new Doppler flowmeter","volume":"76","author":"Beard","year":"1989","journal-title":"Br J Surg"},{"key":"2024092809024298500_bib11","first-page":"836","article-title":"Autogenous vein grafting in femoropopliteal atherosclerosis: the limits of its effectiveness","volume":"86","author":"Szilagyi","year":"1989","journal-title":"Surgery"},{"key":"2024092809024298500_bib12","first-page":"395","article-title":"Bypass or amputation? 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