{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:29:35Z","timestamp":1777613375246,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2017,3,22]],"date-time":"2017-03-22T00:00:00Z","timestamp":1490140800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>It is known that successful pancreas transplantation enables patients with diabetes to maintain a normal glucose level without insulin and reduces diabetes-related complications. However, we have little information about the foot-specific morbidity in patients who have undergone successful pancreas transplantation. The purpose of this study was to investigate the prevalence and predisposing factors for foot complications after successful pancreas transplantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study included 218 patients (91 males, 127 females) who had undergone pancreas transplantation for diabetes. The mean age was 40.7 (range, 15-76) years. Diabetes type, transplantation type, body mass index, and diabetes duration before transplantation were confirmed. After pancreas transplantation, the occurrence and duration of foot and ankle complications were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-two patients (10.1%) had diabetic foot complications. Fifteen patients (6.9%) had diabetic foot ulcer and 7 patients (3.2%) had Charcot arthropathy. Three patients had both diabetic foot ulcer and Charcot arthropathy. Three insufficiency fractures (1.4%) were included. Mean time of complications after transplantation was 18.5 (range, 2-77) months. Creatinine level 1 year after surgery was higher in the complication group rather than the noncomplication group ( P = .02).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Complications of the foot and ankle still occurred following pancreas transplantation in patients with diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, comparative study<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100717696246","type":"journal-article","created":{"date-parts":[[2017,3,22]],"date-time":"2017-03-22T03:14:55Z","timestamp":1490152495000},"page":"656-661","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Diabetic Foot Complications Despite Successful Pancreas Transplantation"],"prefix":"10.1177","volume":"38","author":[{"given":"Dong-Kyo","family":"Seo","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Gangneung Asan Hospital, College of Medicine, University of Ulsan, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho Seong","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jungu","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang Hyun","family":"Ryu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duck Jong","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sang Gyo","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,3,22]]},"reference":[{"key":"bibr1-1071100717696246","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-004-0049-x"},{"key":"bibr2-1071100717696246","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67698-2"},{"key":"bibr3-1071100717696246","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.9.1690"},{"key":"bibr4-1071100717696246","first-page":"777","volume":"12","author":"Caldara R","year":"1999","journal-title":"J Pediatr Endocrinol Metab"},{"key":"bibr5-1071100717696246","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.13738"},{"key":"bibr6-1071100717696246","first-page":"4","author":"Del Vecchio JJ","year":"2013","journal-title":"Diabet Foot Ankle"},{"key":"bibr7-1071100717696246","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.12572"},{"issue":"9","key":"bibr8-1071100717696246","first-page":"490","volume":"53","author":"Klamer TW","year":"1987","journal-title":"Am Surg"},{"key":"bibr9-1071100717696246","doi-asserted-by":"publisher","DOI":"10.1007\/s001250050593"},{"key":"bibr10-1071100717696246","doi-asserted-by":"publisher","DOI":"10.1007\/s001250050795"},{"key":"bibr11-1071100717696246","doi-asserted-by":"publisher","DOI":"10.1097\/01.tp.0000244730.95416.c6"},{"key":"bibr12-1071100717696246","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.2.491"},{"key":"bibr13-1071100717696246","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.2.217"},{"key":"bibr14-1071100717696246","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13054"},{"key":"bibr15-1071100717696246","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.5.860"}],"container-title":["Foot &amp; 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