{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T20:15:06Z","timestamp":1783196106670,"version":"3.54.6"},"reference-count":17,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2027,5,9]],"date-time":"2027-05-09T00:00:00Z","timestamp":1809820800000},"content-version":"am","delay-in-days":312,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["1R01MD018773-01"],"award-info":[{"award-number":["1R01MD018773-01"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofsurgicalresearch.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Research"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.jss.2026.04.027","type":"journal-article","created":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T13:04:15Z","timestamp":1778331855000},"page":"159-164","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Blunt Tibial Injury Is Associated With Primary Amputation for Lower Extremity Vascular Trauma"],"prefix":"10.1016","volume":"323","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5570-0536","authenticated-orcid":false,"given":"Vy T.","family":"Ho","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shernaz S.","family":"Dossabhoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lakshika","family":"Tennakoon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason T.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa M.","family":"Knowlton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jss.2026.04.027_bib1","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1097\/BCO.0000000000001125","article-title":"A database study on incidence and trends in traumatic lower-extremity amputations in the United States","volume":"33","author":"Herzog","year":"2022","journal-title":"Curr Orthopaedic Pract"},{"key":"10.1016\/j.jss.2026.04.027_bib2","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.jss.2026.04.027_bib3","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.1177\/000313481007601120","article-title":"Epidemiology of post-traumatic limb amputation: a national trauma databank analysis","volume":"76","author":"Barmparas","year":"2010","journal-title":"Am Surgeon"},{"key":"10.1016\/j.jss.2026.04.027_bib4","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1097\/00005373-200204000-00005","article-title":"Factors influencing the decision to amputate or reconstruct after high-energy lower extremity trauma","volume":"52","author":"Swiontkowski","year":"2002","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.jss.2026.04.027_bib5","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.injury.2017.01.008","article-title":"Disparities in access to trauma care in the United States: a population-based analysis","volume":"48","author":"Carr","year":"2017","journal-title":"Injury"},{"key":"10.1016\/j.jss.2026.04.027_bib6","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.jamcollsurg.2021.04.012","article-title":"A leg to stand on: Trauma center designation and association with rate of limb salvage in patients suffering severe lower extremity injury","volume":"233","author":"Bunn","year":"2021","journal-title":"J Am Coll Surgeons"},{"key":"10.1016\/j.jss.2026.04.027_bib7","first-page":"441","article-title":"The American college of surgeons trauma quality improvement program","volume":"92","author":"Nathens","year":"2012","journal-title":"Surg Clin"},{"key":"10.1016\/j.jss.2026.04.027_bib8","doi-asserted-by":"crossref","DOI":"10.1177\/14574969211070668","article-title":"Risk factors for major amputation after arterial vascular trauma of the lower extremity","volume":"111","author":"Kluckner","year":"2022","journal-title":"Scand J Surg"},{"key":"10.1016\/j.jss.2026.04.027_bib9","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.avsg.2023.02.035","article-title":"Predictive factors of amputation in infrainguinal vascular trauma: a monocentric experience","volume":"93","author":"Ben Romdhane","year":"2023","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jss.2026.04.027_bib10","doi-asserted-by":"crossref","first-page":"1604","DOI":"10.1016\/j.jvs.2011.01.052","article-title":"A 5-year review of management of lower extremity arterial injuries at an urban level I trauma center","volume":"53","author":"Franz","year":"2011","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jss.2026.04.027_bib11","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1177\/17085381251360074","article-title":"Factors associated with in-hospital amputation after revascularization for lower extremity trauma","volume":"34","author":"Ho","year":"2025","journal-title":"Vascular"},{"key":"10.1016\/j.jss.2026.04.027_bib12","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1177\/1538574411415125","article-title":"Limb outcome and mortality in lower and upper extremity arterial injury: a comparison using the national trauma data bank","volume":"45","author":"Tan","year":"2011","journal-title":"Vasc Endovasc Surg"},{"key":"10.1016\/j.jss.2026.04.027_bib13","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.avsg.2023.09.099","article-title":"Vascular reconstruction and limb loss in military tibial artery injuries","volume":"102","author":"Lee","year":"2024","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jss.2026.04.027_bib14","doi-asserted-by":"crossref","first-page":"1860","DOI":"10.1016\/j.surg.2022.08.027","article-title":"Defining obstacles to emergency transfer of trauma patients: an evaluation of retriage processes from nontrauma and lower-level Illinois trauma centers","volume":"172","author":"Slocum","year":"2022","journal-title":"Surgery"},{"key":"10.1016\/j.jss.2026.04.027_bib15","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/j.jvs.2023.02.025","article-title":"Outcomes of vascular trauma associated with an evolution in the use of endovascular management","volume":"78","author":"Magee","year":"2023","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jss.2026.04.027_bib16","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1177\/00031348221080427","article-title":"Managing vascular trauma: trauma surgeons versus vascular surgeons","volume":"88","author":"Harfouche","year":"2022","journal-title":"Am Surgeon"},{"key":"10.1016\/j.jss.2026.04.027_bib17","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.jamcollsurg.2018.03.043","article-title":"Financial stability of level I trauma centers within safety-net hospitals","volume":"227","author":"Knowlton","year":"2018","journal-title":"J Am Coll Surg"}],"container-title":["Journal of Surgical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426002659?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480426002659?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T19:20:00Z","timestamp":1783192800000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022480426002659"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":17,"alternative-id":["S0022480426002659"],"URL":"https:\/\/doi.org\/10.1016\/j.jss.2026.04.027","relation":{},"ISSN":["0022-4804"],"issn-type":[{"value":"0022-4804","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Blunt Tibial Injury Is Associated With Primary Amputation for Lower Extremity Vascular Trauma","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jss.2026.04.027","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}