{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T14:35:07Z","timestamp":1761057307483},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2001,5,1]],"date-time":"2001-05-01T00:00:00Z","timestamp":988675200000},"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":[[2001,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The long posterior flap has been the procedure of choice for transtibial amputation for many years, but recently its theoretical basis has been challenged. This study assessed the results with the long posterior flap for leg amputation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prospective cohort study was performed. All patients who were referred to the Dundee Limb Fitting Centre for leg amputation between 1987 and 1996 had details of diagnosis, investigations, procedure, and both operative and functional outcome recorded contemporaneously.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Some 126 patients required a transfemoral amputation and 445 needed a transtibial procedure. Fifty patients having the transtibial operation, who would otherwise have required a transfemoral amputation, had a medially based flap; the remaining 395 patients underwent a transtibial amputation by the long posterior flap technique. Primary healing was achieved in 317 patients, and 11 amputations healed by secondary intention. Fifty-one patients required a local wedge resection and 16 had a secondary transfemoral amputation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>These results compare favourably with those of other published series. The long posterior flap remains to be bettered for routine transtibial amputation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1046\/j.1365-2168.2001.01764.x","type":"journal-article","created":{"date-parts":[[2003,3,11]],"date-time":"2003-03-11T07:22:55Z","timestamp":1047367375000},"page":"683-686","source":"Crossref","is-referenced-by-count":9,"title":["Revisiting transtibial amputation with the long posterior flap"],"prefix":"10.1093","volume":"88","author":[{"given":"P A","family":"Allcock","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Ninewells Hospital and Medical School , Dundee DD1 9SY,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A S","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Ninewells Hospital and Medical School , Dundee DD1 9SY,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2001,5,1]]},"reference":[{"key":"2024093009345770700_bib1","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1002\/bjs.1800690920","article-title":"Skew flap myoplastic below-knee amputation: a preliminary report","volume":"69","author":"Robinson","year":"1982","journal-title":"Br J Surg"},{"key":"2024093009345770700_bib2","first-page":"110","article-title":"Sagittal incision for below-knee amputation in ischaemic gangrene","volume":"56B","author":"Persson","year":"1974","journal-title":"J Bone Joint Surg Br"},{"key":"2024093009345770700_bib3","first-page":"137","article-title":"The management of lower extremity amputees using immediate postsurgical prostheses","volume":"57","author":"Burgess","year":"1968","journal-title":"Clin Orthop"},{"key":"2024093009345770700_bib4","first-page":"263","article-title":"Transtibial amputation using a medially based flap","volume":"40","author":"Jain","year":"1995","journal-title":"J R Coll Surg Edinb"},{"key":"2024093009345770700_bib5","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1302\/0301-620X.79B3.0790441","article-title":"Fasciocutaneous blood supply in below-knee amputation","volume":"79B","author":"Humzah","year":"1997","journal-title":"J Bone Joint Surg Br"},{"key":"2024093009345770700_bib6","first-page":"13","article-title":"An index of healing in below-knee amputation: leg blood pressure by Doppler ultrasound","volume":"79","author":"Barnes","year":"1976","journal-title":"Surgery"},{"key":"2024093009345770700_bib7","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/S0950-821X(89)80074-X","article-title":"The value of skin temperature measurement in forecasting the healing of a below-knee amputation for end-stage ischaemia of the leg in peripheral vascular disease","volume":"3","author":"Stoner","year":"1989","journal-title":"Eur J Vasc Surg"},{"key":"2024093009345770700_bib8","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/0002-9610(77)90299-9","article-title":"Below-knee amputation: a modern approach","volume":"134","author":"Roon","year":"1977","journal-title":"Am J Surg"},{"key":"2024093009345770700_bib9","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1002\/bjs.1800770624","article-title":"Anatomical aspects of the blood supply to the skin of the posterior calf: technique of below-knee amputation","volume":"77","author":"Gray","year":"1990","journal-title":"Br J Surg"},{"key":"2024093009345770700_bib10","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1002\/bjs.1800570115","article-title":"Long posterior-flap myoplastic below-knee amputation in vascular disease","volume":"57","author":"Hunter-Craig","year":"1970","journal-title":"Br J Surg"},{"key":"2024093009345770700_bib11","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/S0140-6736(72)90583-1","article-title":"Long-posterior-flap myoplastic below-knee amputation in ischaemic disease. 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