{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T01:39:10Z","timestamp":1776994750800,"version":"3.51.4"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"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":["International Wound Journal"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Surgical site infection (SSI) following transmetatarsal amputation (TMA) is common and associated with significant morbidity. However, there is limited evidence to guide perioperative strategies for SSI prevention in this population. A prospective, cross\u2010sectional survey was conducted among vascular specialists. The questionnaire assessed current practice in SSI prevention for TMA, perceptions of evidence gaps, and willingness to participate in future research. Responses were analysed descriptively. Eighty\u2010four valid responses were analysed, with 64.3% from consultant vascular surgeons and 84.5% from UK centres. Most respondents (84.5%) considered SSI after TMA to be a significant issue. The majority preferred primary closure in clean wounds (78.6%) and commonly used short\u2010course antibiotics and interrupted sutures. Over 70% agreed no clear best practice exists, and 65.5% felt high\u2010quality randomised trials are needed. Ninety\u2010three percent expressed willingness to engage in future studies. Equipoise existed regarding interventions including antibiotic duration, wound adjuncts, and closure techniques. Opinion varied regarding whether TMA and major lower limb amputation should be pooled when undertaking research into SSI prevention. Current practice in SSI prevention for TMA is highly variable. This survey demonstrates broad support for rigorous trials to establish effective strategies and highlights the feasibility of future research in this area.<\/jats:p>","DOI":"10.1111\/iwj.70846","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T05:25:27Z","timestamp":1776317127000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Interventions to Reduce Surgical Site Infection in Transmetatarsal Forefoot Amputations: A Feasibility Survey"],"prefix":"10.1111","volume":"23","author":[{"given":"Lakna Harindi","family":"Alawattegama","sequence":"first","affiliation":[{"name":"The Shrewsbury and Telford Hospital NHS Trust  Shrewsbury UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Al\u2010Saadi","sequence":"additional","affiliation":[{"name":"Black Country Vascular Network Dudley Group of Hospitals NHS Foundation Trust  Dudley UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Bosanquet","sequence":"additional","affiliation":[{"name":"South East Wales Vascular Network  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Chetter","sequence":"additional","affiliation":[{"name":"Hull York Medical School  Hull UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismay","family":"Fabre","sequence":"additional","affiliation":[{"name":"South East Wales Vascular Network  Cardiff UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Garnham","sequence":"additional","affiliation":[{"name":"Black Country Vascular Network Dudley Group of Hospitals NHS Foundation Trust  Dudley UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenig","family":"Gwilym","sequence":"additional","affiliation":[{"name":"Aneurin Bevan Health Board  Gwent 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University of Birmingham  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6239-4039","authenticated-orcid":false,"given":"Matthew","family":"Popplewell","sequence":"additional","affiliation":[{"name":"Black Country Vascular Network Dudley Group of Hospitals NHS Foundation Trust  Dudley UK"},{"name":"Department of Applied Health Sciences University of Birmingham  Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Wall","sequence":"additional","affiliation":[{"name":"Black Country Vascular Network Dudley Group of Hospitals NHS Foundation Trust  Dudley UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"NHS \u201cHospital Admitted Patient Care Activity 2022\u201323: Procedures and Interventions \u201d 2023."},{"key":"e_1_2_13_3_1","unstructured":"Vascular Society of Great Britain and Ireland (VSGBI) \u201cA Best Practice Clinical Care Pathway for Major Amputation Surgery \u201d 2016."},{"key":"e_1_2_13_4_1","unstructured":"NICE \u201cSurgical Site Infections: Prevention and Treatment 2019 \u201dhttps:\/\/www.nice.org.uk\/guidance\/ng125."},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.54522\/jvsgbi.2024.139"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.13143"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2009.07.005"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.07.003"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znac053"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67695-7"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-012-0245-5"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2012.02.011"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0486"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(25)00143-6"},{"key":"e_1_2_13_15_1","unstructured":"Vascular Society of Great Britain & Ireland (VSGBI) \u201cVSASM 2024 \u201d2024 https:\/\/vascularsociety.org.uk\/events\/6\/vsasm\u20102024\/."},{"key":"e_1_2_13_16_1","unstructured":"Google \u201cGoogle Forms \u201dhttps:\/\/docs.google.com\/forms\/u\/0\/."},{"key":"e_1_2_13_17_1","unstructured":"Health Research Authority \u201cIs My Study Research? \u201d2022 https:\/\/www.hra\u2010decisiontools.org.uk\/research\/."},{"key":"e_1_2_13_18_1","unstructured":"National Institute for Health and Care Research (NIHR) \u201cGood Clinical Practice (GCP) \u201d 2024."}],"container-title":["International Wound 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