{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T04:49:16Z","timestamp":1773118156759,"version":"3.50.1"},"reference-count":18,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["annalsofvascularsurgery.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Annals of Vascular Surgery"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.avsg.2025.09.019","type":"journal-article","created":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T23:24:32Z","timestamp":1758583472000},"page":"713-722","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["A Multimodal Approach for Limb Preservation of Dehisced Amputations with Bone Exposure"],"prefix":"10.1016","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5958-0404","authenticated-orcid":false,"given":"Ioannis","family":"Tsouknidas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8612-0053","authenticated-orcid":false,"given":"Garrett","family":"Tibbets","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3954-3227","authenticated-orcid":false,"given":"Athanasios","family":"Angistriotis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1835-8943","authenticated-orcid":false,"given":"George","family":"Koullias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.avsg.2025.09.019_bib1","doi-asserted-by":"crossref","first-page":"1818","DOI":"10.1161\/CIRCRESAHA.121.318535","article-title":"Epidemiology of peripheral artery disease and polyvascular disease","volume":"128","author":"Aday","year":"2021","journal-title":"Circ Res"},{"key":"10.1016\/j.avsg.2025.09.019_bib2","doi-asserted-by":"crossref","first-page":"42S","DOI":"10.1016\/j.jvs.2014.12.008","article-title":"A systematic review for the screening for peripheral arterial disease in asymptomatic patients","volume":"61","author":"Alahdab","year":"2015","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2025.09.019_bib3","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1161\/ATVBAHA.119.312859","article-title":"Microvascular disease increases amputation in patients with peripheral artery disease","volume":"40","author":"Behroozian","year":"2020","journal-title":"Arterioscler Thromb Vasc Biol"},{"key":"10.1016\/j.avsg.2025.09.019_bib4","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1016\/j.apmr.2007.11.005","article-title":"Estimating the prevalence of limb loss in the United States: 2005 to 2050","volume":"89","author":"Ziegler-Graham","year":"2008","journal-title":"Arch Phys Med Rehabil"},{"key":"10.1016\/j.avsg.2025.09.019_bib5","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1001\/archsurg.139.4.395","article-title":"Major lower extremity amputation: outcome of a modern series","volume":"139","author":"Aulivola","year":"2004","journal-title":"Arch Surg"},{"key":"10.1016\/j.avsg.2025.09.019_bib6","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1053\/j.jfas.2023.06.005","article-title":"Predictors of ambulatory status at 1 Year following major lower extremity amputation","volume":"62","author":"Forsyth","year":"2023","journal-title":"J Foot Ankle Surg"},{"key":"10.1016\/j.avsg.2025.09.019_bib7","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.cpm.2005.03.002","article-title":"When is a more proximal amputation needed?","volume":"22","author":"Zickler","year":"2005","journal-title":"Clin Podiatr Med Surg"},{"key":"10.1016\/j.avsg.2025.09.019_bib8","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1177\/0309364617690394","article-title":"Factors influencing quality of life following lower limb amputation for peripheral arterial occlusive disease: a systematic review of the literature","volume":"41","author":"Davie-Smith","year":"2017","journal-title":"Prosthet Orthot Int"},{"key":"10.1016\/j.avsg.2025.09.019_bib9","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1016\/j.jvs.2014.05.050","article-title":"Risk factors and indications for readmission after lower extremity amputation in the American college of surgeons national surgical quality improvement program","volume":"60","author":"Curran","year":"2014","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2025.09.019_bib10","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1016\/j.jvs.2017.08.061","article-title":"Risk factors for unplanned readmission and stump complications after major lower extremity amputation","volume":"67","author":"Phair","year":"2018","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.avsg.2025.09.019_bib11","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1093\/bjs\/znad134","article-title":"Outcomes after minor lower limb amputation for peripheral arterial disease and diabetes: population-based cohort study","volume":"110","author":"Birmpili","year":"2023","journal-title":"Br J Surg"},{"key":"10.1016\/j.avsg.2025.09.019_bib12","doi-asserted-by":"crossref","first-page":"1528","DOI":"10.1177\/147323000903700531","article-title":"The wound healing process: an overview of the cellular and molecular mechanisms","volume":"37","author":"Velnar","year":"2009","journal-title":"J Int Med Res"},{"key":"10.1016\/j.avsg.2025.09.019_bib13","doi-asserted-by":"crossref","first-page":"2439","DOI":"10.3390\/cells11152439","article-title":"Innovative treatment strategies to accelerate wound healing: trajectory and recent advancements","volume":"11","author":"Kolimi","year":"2022","journal-title":"Cells"},{"key":"10.1016\/j.avsg.2025.09.019_bib14","first-page":"13","article-title":"Soft tissue coverage of lower extremity defects: pearls and pitfalls in the chronic wound population","volume":"9","author":"Deldar","year":"2022","journal-title":"Plast Aesthet Res"},{"key":"10.1016\/j.avsg.2025.09.019_bib15","doi-asserted-by":"crossref","first-page":"4055","DOI":"10.1177\/00031348231175504","article-title":"A novel strategy to manage below-knee-amputation (BKA) stump complications for early wound healing and BKA salvage","volume":"89","author":"Balan","year":"2023","journal-title":"Am Surg"},{"key":"10.1016\/j.avsg.2025.09.019_bib16","article-title":"The \u201cwoundosome\u201d concept and its impact on procedural outcomes in patients with chronic limb-threatening ischemia","author":"Patrone","year":"2024","journal-title":"J Endovasc Ther"},{"key":"10.1016\/j.avsg.2025.09.019_bib17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/01.prs.0000222562.60260.f9","article-title":"Wound healing: an overview","volume":"117","author":"Broughton","year":"2006","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.avsg.2025.09.019_bib18","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1089\/wound.2015.0635","article-title":"Challenges in the treatment of chronic wounds","volume":"4","author":"Frykberg","year":"2015","journal-title":"Adv Wound Care"}],"container-title":["Annals of Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0890509625006259?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0890509625006259?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T16:26:28Z","timestamp":1773073588000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0890509625006259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":18,"alternative-id":["S0890509625006259"],"URL":"https:\/\/doi.org\/10.1016\/j.avsg.2025.09.019","relation":{},"ISSN":["0890-5096"],"issn-type":[{"value":"0890-5096","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A Multimodal Approach for Limb Preservation of Dehisced Amputations with Bone Exposure","name":"articletitle","label":"Article Title"},{"value":"Annals of Vascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.avsg.2025.09.019","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}