{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:10:01Z","timestamp":1787019001859,"version":"build-2736575974"},"reference-count":13,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>Background: Transtibial amputation (TTA) due to complications of diabetic foot infection (DFI) or peripheral vascular disease (PVD) is a high-risk procedure in fragile patients. The risks of reoperation, blood loss requiring blood transfusion, and mortality are high. The use of a tourniquet in this procedure is controversial and scarcely reported. Objective: this study aimed to compare the outcomes of TTAs with or without a tourniquet in a single tertiary medical center. Methods: We retrospectively identified all patients who had undergone TTA in our institution (1\/2019-1\/2020) and included only those who underwent the procedure due to complications of DFI or PVD ( n = 69). The retrieved data included demographics, comorbidities, ASA score, the use of a tourniquet, operation duration, pre- and postoperative hemoglobin levels, administration of blood transfusions, hospitalization length, surgical site infection and 60-days reoperation and mortality rates. Results: TTA with a tourniquet was superior to TTA without a tourniquet in reducing the average operation length by 11 min ( p = 0.05), the median postoperative hospitalization by 6\u00a0days ( p = 0.04), and the use of blood transfusions (odds ratio [OR] = 0.176, 95% confidence interval [CI]: 0.031\u20130.996). Conclusions: Our findings demonstrated advantages in operative time, hospitalization length, and blood transfusion requirement for TTA with a tourniquet compared to TTA without a tourniquet.<\/jats:p>","DOI":"10.1177\/10225536221102694","type":"journal-article","created":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T17:04:54Z","timestamp":1652893494000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Trans tibial amputation with or without a tourniquet in patients with diabetic foot infection and peripheral vascular disease: Comparison of postoperative outcomes"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7861-9231","authenticated-orcid":false,"given":"Ron","family":"Gurel","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Etay","family":"Elbaz","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itay","family":"Ashkenazi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dani","family":"Rotman","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6232-3524","authenticated-orcid":false,"given":"Shai","family":"Factor","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ofir","family":"Chechik","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2468-3091","authenticated-orcid":false,"given":"Yaniv","family":"Warschawski","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assaf","family":"Albagli","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,5,16]]},"reference":[{"key":"bibr1-10225536221102694","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2011.05.019"},{"key":"bibr2-10225536221102694","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2016.01.012"},{"key":"bibr3-10225536221102694","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v8.i1.62"},{"key":"bibr4-10225536221102694","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2006.03.008"},{"key":"bibr5-10225536221102694","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2005.11.018"},{"key":"bibr6-10225536221102694","first-page":"83","volume":"16","author":"Rosen N","year":"2014","journal-title":"Isr Med Assoc 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