{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T09:59:31Z","timestamp":1788343171121,"version":"build-2803163510"},"reference-count":62,"publisher":"Mark Allen Group","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2017,5,2]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> The aim of this study was to retrospectively measure the outcomes of foot-sparing surgery at one year follow-up for patients with diabetic foot ulcers (DFUs). We assessed wound healing and the need for further surgery in relation to the variables that influence healing. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> Data were retrospectively collected by reviewing the electronic files of patients attending the Wound Expert Clinic (WEC). Outcomes of surgical debridement, toe, ray and transmetatarsal amputations were assessed. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> A total of 129 cases in 121 patients were identified for inclusion. The results demonstrated that complete wound healing was reached in 52% (61\/117) of the patients within 12 months. The need for additional surgery or for major amputation was 56% (n=72\/129) and 30% (n=39\/129) respectively. The need for an additional procedure was particularly high after surgical debridement (75%, 33\/44) and transmetatarsal amputation (64%, 7\/11). Risk factors for non-healing or for a major amputation were: infection (p=0.01), ischaemia (p=0.01), a history of peripheral arterial occlusive disease (p&lt;0.01) and smoking (p=0.01). Additional findings were that not all patients underwent vascular assessment and in half of the patients there was a delay in undergoing revascularisation. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> The results of the study reveal some areas for improvement including timely revascularisation and performance of multiple debridement procedures if needed in order to save a limb <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2017.26.5.218","type":"journal-article","created":{"date-parts":[[2017,5,5]],"date-time":"2017-05-05T16:22:45Z","timestamp":1494001365000},"page":"218-227","source":"Crossref","is-referenced-by-count":24,"title":["Outcomes after foot surgery in people with a diabetic foot ulcer and a 12-month follow-up"],"prefix":"10.12968","volume":"26","author":[{"given":"E.","family":"Lenselink","sequence":"first","affiliation":[{"name":"Wound Expert Clinic, Haaglanden Medical Centre, The Hague, The 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