{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T07:00:35Z","timestamp":1785308435292,"version":"3.55.0"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"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":["The International Journal of Lower Extremity Wounds"],"abstract":"\n Background<\/jats:title>\n Partial calcanectomy is a limb-salvage procedure for recalcitrant heel ulcers; however, predictors of outcome remain poorly defined. This study aimed to evaluate healing rates, limb salvage, and prognostic factors.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective review was conducted of 156 patients who underwent partial or subtotal calcanectomy. The primary outcome was complete healing within 6 months. Secondary outcomes included limb salvage, recurrence, ambulation, and complications. Univariate and multivariate analyses were performed to identify predictors of healing failure.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The 6-month healing rate was 87.2% (136\/156), and the limb salvage rate was 89.7% (140\/156). Recurrence occurred in 6.4% (10\/156), and 79.5% (124\/156) achieved independent ambulation. On multivariate analysis, HbA1c\u2009>\u20099% (OR 3.4, 95% CI 1.2\u20139.6; p\u2009=\u20090.02), CKD stage 5 (OR 4.1, 95% CI 1.4\u201312.2; p\u2009<\u20090.01), high medial arterial calcification (MAC) (OR 2.9, 95% CI 1.1\u20137.9; p\u2009=\u20090.03), and high pedal acceleration time (PAT) (OR 2.7, 95% CI 1.1\u20136.9; p\u2009=\u20090.04) were independent predictors of healing failure.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Partial calcanectomy is an effective limb-salvage procedure. Poor glycemic control, end-stage renal disease, severe medial arterial calcification, and abnormal pedal perfusion are significant independent predictors of healing failure and should be considered in preoperative patient selection and counseling\n .<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/15347346261456409","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T09:21:21Z","timestamp":1780392081000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of Healing and Limb Salvage Following Partial Calcanectomy for Refractory Heel Ulcers: A Retrospective Cohort Analysis of 156 Patients"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7087-8674","authenticated-orcid":false,"given":"Mohammed","family":"Shahat","sequence":"first","affiliation":[{"name":"Assiut University Hospitals, Assiut University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0347-1129","authenticated-orcid":false,"given":"Sahar. H.","family":"Ali","sequence":"additional","affiliation":[{"name":"Assiut University Hospitals, Assiut University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashraf","family":"Elnaggar","sequence":"additional","affiliation":[{"name":"Assiut University Hospitals, Assiut University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.7547\/1020396"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2020.07.014"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718822978"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000001815"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801901210"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2013.09.002"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaf341"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2021.02.038"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2021.01.012"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2022.07.007"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2023.38.e160"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14020596"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2025.07.014"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.48729\/pjctvs.530"}],"container-title":["The International Journal of Lower Extremity Wounds"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15347346261456409","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15347346261456409","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15347346261456409","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T06:03:02Z","timestamp":1785304982000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15347346261456409"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,2]]},"references-count":14,"alternative-id":["10.1177\/15347346261456409"],"URL":"https:\/\/doi.org\/10.1177\/15347346261456409","relation":{},"ISSN":["1534-7346","1552-6941"],"issn-type":[{"value":"1534-7346","type":"print"},{"value":"1552-6941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,2]]},"article-number":"15347346261456409"}}