OBJECTIVES The purpose of this study was to determine the extent to which the Mangled Extremity Severity Score (MESS) predicted outcomes for soldiers sustaining combat-related Gustilo-Anderson type III open tibia fractures. DESIGN Retrospective cohort study. SETTING Tertiary trauma center. PATIENTS Service Members with combat-related type III open tibia fractures occurring between 2003 an...

Prosthetic components for both transtibial and transfemoral amputations are available for patients of every level of ambulation. Most current suspension systems, knees, foot/ankle assemblies, and shock absorbers use endoskeletal construction that emphasizes total contact and weight distribution between bony structures and soft tissues. Different components offer varying benefits to energy expen...

BACKGROUND We sought to identify risk factors associated with mortality following surgery for peripheral arterial disease (PAD). METHODS We evaluated the association between levels of control of atherosclerotic risk factors and time to mortality following either lower extremity bypass surgery or lower extremity amputation using Cox proportional hazards regression. RESULTS Among 796 patients...

This case report details our experience with lower-extremity ischemia due to extracorporeal membrane oxygenation. The patient presented massive myonecrosis caused by of the thighs and lower legs. Biphasic wound closure was performed using ultrasound debridement negative-pressure therapy prepare bed after knee disarticulation above-knee amputation.

IMPORTANCE Among patients presenting with critical lower extremity ischemia, it has been previously documented that white individuals are more likely to undergo revascularization than nonwhite individuals, with the disparity largely attributed to differences in resources and access to care. OBJECTIVE To investigate the amputation disparity between white and nonwhite patients with critical low...

OBJECTIVE It is reasonable to predict that diabetes-related lower-extremity amputations have a detrimental impact on quality of life. However, we are unaware of any study in the medical literature describing the functional level of diabetic patients with amputations. The objective of this study was to evaluate amputations among diabetic patients and to determine the functional level of these pa...

OBJECTIVE The goal of the study was to determine whether complications of diabetes well-known to be associated with death such as cardiovascular disease and renal failure fully explain the higher rate of death in those who have undergone a lower-extremity amputation (LEA). RESEARCH DESIGN AND METHODS This was a longitudinal cohort study of patients cared for in the Health Improvement Network....