{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T09:07:55Z","timestamp":1768295275014,"version":"3.49.0"},"reference-count":0,"publisher":"Bentham Science Publishers Ltd.","issue":"1","content-domain":{"domain":["eurekaselect.com"],"crossmark-restriction":true},"short-container-title":["CDR"],"published-print":{"date-parts":[[2020,12,4]]},"abstract":"<jats:sec>\n<jats:title>Introduction:<\/jats:title>\n<jats:p>The effectiveness of the treatment has long been significant in diabetes and its\ncomplications, especially in developing countries. Prolonged hospitalization and repeated surgery\nshould be avoided due to clinical and economic reasons. Wound breakdowns or necrosis can occur after\namputation procedures, and subsequently will require reamputation. This study analyzed susceptibility\nfactors in diabetic foot patients undergoing prior high toe amputation that are thought to be related to\nearly reamputation.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods:<\/jats:title>\n<jats:p>We performed a retrospective analysis in 107 patients that have undergone amputation for\ngreat toe gangrene, during May 2014-April 2019. Demographic data, clinical features, laboratory results\nand treatment modality, were documented and statistically analyzed by simple and multiple logistic regression\nmethods.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results:<\/jats:title>\n<jats:p> Of all 107 patients, 17 patients had to undergo early reamputation. Limited dorsiflexion, level\nof amputation, and sepsis condition is shown to be significantly associated with first amputation. Multiple\nlogistic regression analysis confirmed a significant association of early reamputation with amputation\nor disarticulation at the level of the metatarsophalangeal joint.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusion:<\/jats:title>\n<jats:p>While limited ankle dorsiflexion and sepsis conditions need to be addressed comprehensively,\nfrom the surgical options point of view, we suggest ray amputation to be preferred over metatarsophalangeal\njoint disarticulation to prevent early reamputation.<\/jats:p>\n<\/jats:sec>","DOI":"10.2174\/1573399816666200224100608","type":"journal-article","created":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T14:21:24Z","timestamp":1582554084000},"page":"55-62","update-policy":"https:\/\/doi.org\/10.2174\/bsp_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Susceptibility Factors for Early Reamputation in Diabetic Great Toe Gangrene"],"prefix":"10.2174","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5825-5941","authenticated-orcid":true,"given":"Raden A.","family":"Primadhi","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Universitas Padjadjaran Medical School \/ Hasan Sadikin Hospital, Jalan Pasteur 38, Bandung, 40161, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"965","container-title":["Current Diabetes Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/eurekaselect.com\/article\/download\/179649","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.eurekaselect.com\/179649\/article","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/eurekaselect.com\/article\/download\/179649","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T06:21:53Z","timestamp":1609741313000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.eurekaselect.com\/179649\/article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,4]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12,4]]}},"alternative-id":["LiveAll1"],"URL":"https:\/\/doi.org\/10.2174\/1573399816666200224100608","relation":{},"ISSN":["1573-3998"],"issn-type":[{"value":"1573-3998","type":"print"}],"subject":[],"published":{"date-parts":[[2020,12,4]]},"assertion":[{"value":"Peer Reviewed","order":0,"name":"review_status","label":"Review Status","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Single blind","order":1,"name":"review_process","label":"Review Process","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Checked with iThenticate","order":0,"name":"screening_status","label":"Screening Status","group":{"name":"plagiarism_screening","label":"Plagiarism Screening"}},{"value":"2019-11-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-12","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}