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The misleading terminology of minor amputation of the lower limb.
Eur J Trauma Emerg Surg
January 2025
Department of Foot and Ankle Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, 60389, Frankfurt, Germany.
Purpose: A pronounced loss of function of the lower limb of various origins, especially with an infection-related course, may require a minor (MIN) or major (MAJ) amputation of the lower limb. Our aim was to contrast the underlying etiology, including previous trauma, surgical procedure, and the subsequent function.
Methods: Between 2012 and 2022, 366 lower limb amputations were considered.
Predicting prosthetic gait and the effects of induced stiff-knee gait.
PLoS One
January 2025
Laboratory for Biomechanics and Biomaterials, Department of Orthopedic Surgery, DIAKOVERE Annastift, Hannover Medical School, Hannover, Germany.
Prosthetic gait differs considerably from the unimpaired gait. Studying alterations in the gait patterns could help to understand different adaptation mechanisms adopted by these populations. This study investigated the effects of induced stiff-knee gait (SKG) on prosthetic and healthy gait patterns and the capabilities of predictive simulation.
View Article and Find Full Text PDFLower limb necrotising fasciitis descending from malignant colonic perforation: a rare pattern.
BMJ Case Rep
December 2024
Trauma and Orthopaedics, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Necrotising fasciitis (NF) is a rare surgical emergency characterised by soft tissue necrosis and systemic compromise. Typically it originates following adjacent skin and soft tissue insult; however, our unusual case required a high index of clinical suspicion to avert potential mortality. A man in his 60s with diabetes mellitus presented with 2 weeks of knee pain, swelling and necrotic skin on the posterior calf.
View Article and Find Full Text PDFFinancial Toxicity and Unemployment in Patients with Major Lower Limb Amputation are High.
Ann Vasc Surg
December 2024
Division of Vascular Surgery, University of Florida, Gainesville, FL. Electronic address:
Background: Major limb amputation can place a significant financial burden on patients and their families because of costs of care and loss of income, encapsulated by the concept of financial toxicity. We sought to measure and understand factors associated with financial toxicity among patients undergoing major lower limb amputation for diabetic foot ulcers or peripheral arterial disease.
Methods: We identified patients in an institutional database who received lower limb amputations and excluded patients who underwent amputation due to known trauma or cancer.
Retrospective cohort study of the economic value of providing microprocessor knees to the population of Medicare fee-for-service K2 beneficiaries with a knee disarticulation/above knee amputation.
Prosthet Orthot Int
December 2024
Affiliated with Otto Bock HealthCare Products GmbH, Vienna, Austria.
Background: Microprocessor knees (MPKs) improve the functional mobility, quality of life, and safety of individuals with a knee disarticulation or above knee amputation and are cost-effective when adjusting for quality-of-life years gained. However, few studies have been conducted on the K2 population, and to this point, the Centers for Medicare and Medicaid Services has not covered MPKs for the K2 population.
Objectives: The aim of this study was to determine the extent to which MPK provision to the K2 population is cost effective at the person and population levels.
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