{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T10:18:37Z","timestamp":1788344317011,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Many factors are affected after amputation and prosthetic use in patients with diabetes mellitus. Our study aimed to evaluate complications, satisfaction, and walking ability of patients with diabetes following 1 year of using trans\u2010tibial prostheses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The participants were diabetic patients with a history of using PTB\u2010SC transtibial prostheses design. Demographic and residual limb characteristics were collected. Twenty\u2010seven participants were included. A modified Orthotics Prosthetics Users Survey (OPUS) questionnaire, 2\u2010min walk test, and Visual Analogue Scale were used to evaluate satisfaction and complications, walking ability, and pain at rest, respectively. Descriptive statistics were used for analysis. Normality of the data was assessed using the Shapiro\u2013Wilk test. The types of complications were grouped. The effect of the type of complication on walking ability and satisfaction was evaluated using one\u2010way analysis of variance. All statistical tests and calculations were performed using SPSS software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The most common complications are put in four groups (group 1: volume change (11.1%), group 2: pain (during activity) (59.2%), group 3: redness(14.8%), and group 4: non\u2010complication(14.8%)). The mean for walking ability was 94.0\u2009\u00b1\u200936.7\u2009m, satisfaction was 66.8\u2009\u00b1\u20095.8, and pain (at rest) was 20 (0,70). Pain (during activity) was the most common complication. The effect of type of complication on the walking ability and satisfaction, revealed no significant differences (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.12,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.057), with partial\n                      <jats:italic>\u014b<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.21 and 0.27, indicating a large effect size, respectively. Post\u2010hoc comparisons using the Tukey HSD test indicated that the mean score for group 3 was significantly different from group 4 (MD: 11.1, SD: 3.9) in evaluating the effect of the type of complications on the satisfaction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provides valuable insights into the experiences of individuals with diabetic amputations. Addressing complications and optimizing prosthetic design, alignment, and fitting are essential for enhancing functional outcomes and improving the overall quality of life of this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72535","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T04:13:39Z","timestamp":1779164019000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Complications After the Use of Trans\u2010Tibial Prostheses in Patients With Diabetes: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3126-0537","authenticated-orcid":false,"given":"Nasrin","family":"Moulodi","sequence":"first","affiliation":[{"name":"Prosthetics and Orthotics Department, Erbil Technical Health and Medical College Erbil Polytechnic University Erbil Iraq"},{"name":"Rehabilitation Research Center, Department of Orthotics and Prosthetics, School of Rehabilitation Sciences Iran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sawza","family":"Saeed","sequence":"additional","affiliation":[{"name":"Prosthetics and Orthotics Department, Erbil Technical Health and Medical College Erbil Polytechnic University Erbil Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zekra","family":"Aziz","sequence":"additional","affiliation":[{"name":"Prosthetics and Orthotics Department, Erbil Technical Health and Medical College Erbil Polytechnic University Erbil Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Awla","sequence":"additional","affiliation":[{"name":"Prosthetics and Orthotics Department, Erbil Technical Health and Medical College Erbil Polytechnic University Erbil Iraq"},{"name":"Erbil Physical Rehabilitation Center, International Committee of Red Cross Erbil Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabi","family":"Babakir","sequence":"additional","affiliation":[{"name":"Prosthetics and Orthotics Department, Erbil Technical Health and Medical College Erbil Polytechnic University Erbil Iraq"},{"name":"Rania Center of Rehabilitation, Ministry of Health Sulaimania Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rizgar","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Prosthetics and Orthotics Department, Erbil Technical Health and Medical College Erbil Polytechnic University Erbil Iraq"},{"name":"Duhok Specialized Center of Rheumatic Diseases and Medical Rehabilitation, Duhok General Health, Ministry of Health Duhok Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,18]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(97)80244-4"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.5114\/.2024.144114"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc16-0678"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.5604\/01.3001.0009.8980"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2003.10.011"},{"key":"e_1_2_13_7_1","first-page":"717","volume-title":"Atlas of Limb Prosthetics","author":"Bowker J.","year":"1992"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/03093649709164536"},{"key":"e_1_2_13_9_1","article-title":"Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms","volume":"3","author":"Merskey H. 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