{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T00:05:28Z","timestamp":1704931528125},"reference-count":15,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2008,3,1]],"date-time":"2008-03-01T00:00:00Z","timestamp":1204329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Nonhealing below\u2010knee amputation (BKA) necessitates redo BKA or conversion to above\u2010knee amputation (AKA). Outcomes after redo BKA remain poorly defined. We hypothesized that in selected patients redo BKA results in favorable functional outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients undergoing redo BKA at a single institution during 4 years were reviewed. A concurrent cohort proceeding directly to ipsilateral AKA served as comparative controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 138 BKAs, 23 (17%) failed to heal primarily. Baseline demographics and medical comorbidities were similar between groups. Clinicians selected 14 for redo BKA and 9 for ipsilateral AKA. Eight (57%) of those undergoing redo BKA had a history of minor stump trauma and 13 (93%) had a palpable popliteal pulse, compared with no trauma (<jats:italic>P<\/jats:italic> = 0.007) and 4 (44%, <jats:italic>P<\/jats:italic> = 0.018) palpable popliteal pulses in the AKA group. Functionally, 86% of redo\u2010BKA patients returned home, all eventually healed, and 86% walked, whereas none in the AKA group walked.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In selected patients, redo BKA yields excellent functional outcomes. A history of minor stump trauma and a palpable popliteal pulse favor redo BKA compared with conversion to AKA.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-008-9500-5","type":"journal-article","created":{"date-parts":[[2008,3,3]],"date-time":"2008-03-03T12:43:49Z","timestamp":1204548229000},"page":"1823-1826","source":"Crossref","is-referenced-by-count":12,"title":["Functional Outcome After Redo Below\u2010Knee Amputation"],"prefix":"10.1002","volume":"32","author":[{"given":"Chad N.","family":"Stasik","sequence":"first","affiliation":[{"name":"University of Florida College of Medicine and the Malcom Randall VAMC P.O. Box 100286 32610 Gainesville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott A.","family":"Berceli","sequence":"additional","affiliation":[{"name":"University of Florida College of Medicine and the Malcom Randall VAMC P.O. Box 100286 32610 Gainesville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter R.","family":"Nelson","sequence":"additional","affiliation":[{"name":"University of Florida College of Medicine and the Malcom Randall VAMC P.O. Box 100286 32610 Gainesville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. Anthony","family":"Lee","sequence":"additional","affiliation":[{"name":"University of Florida College of Medicine and the Malcom Randall VAMC P.O. Box 100286 32610 Gainesville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. Keith","family":"Ozaki","sequence":"additional","affiliation":[{"name":"University of Florida College of Medicine and the Malcom Randall VAMC P.O. Box 100286 32610 Gainesville FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,3]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1538574406291835"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0889\u20108529(05)70332\u20107"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741\u20105214(99)70077\u20107"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/15266028040110S613"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.02.048"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313480206800710"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741\u20105214(03)00092\u20102"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.07.027"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.139.4.395"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445\u20102197.2006.03715.x"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.1986.avs0040321"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.04.015"},{"key":"e_1_2_6_14_2","first-page":"1","article-title":"Amputations below the knee","volume":"13","author":"Burgess EM","year":"1969","journal-title":"Artif Limbs"},{"key":"e_1_2_6_15_2","first-page":"232","article-title":"The association between lowest palpable pulse and wound healing in below knee amputations","volume":"67","author":"O\u2019Dwyer KJ","year":"1985","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313480407000314"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-008-9500-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-008-9500-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-008-9500-5","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T15:08:48Z","timestamp":1704899328000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-008-9500-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,3]]},"references-count":15,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2008,8]]}},"alternative-id":["10.1007\/s00268-008-9500-5"],"URL":"https:\/\/doi.org\/10.1007\/s00268-008-9500-5","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,3]]}}}