scholarly journals Rare Lower Extremity Fibrosarcomatous Variant of Dermatofibrosarcoma With Myxoid Features Treated With Transtibial Amputation

Cureus ◽  
2021 ◽  
Author(s):  
Elizabeth K Pryor ◽  
Margaret A Sinkler ◽  
Asad Ullah ◽  
Elizabeth Martin ◽  
Kelly Homlar
Keyword(s):  
Lower Extremity ◽  
Transtibial Amputation ◽  
Fibrosarcomatous Variant

scholarly journals Lower Extremity Joint Contributions to Trunk Control During Walking in Persons with Transtibial Amputation

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Adam J. Yoder ◽  
Amy Silder ◽  
Shawn Farrokhi ◽  
Christopher L. Dearth ◽  
Brad D. Hendershot
Keyword(s):  
Lower Extremity ◽  
Trunk Control ◽  
Transtibial Amputation

scholarly journals Assessment Measures for Evaluation of Outcomes in Transtibial Amputees resulting from Trauma: A Systematic Review

2017 ◽  
Vol 7 (1) ◽  
pp. 23-29
Author(s):  
Rita Baumgartner ◽  
Saam Morshed
Keyword(s):  
Systematic Review ◽  
Lower Extremity ◽  
Conceptual Model ◽  
Scoring System ◽  
High Energy ◽  
Transtibial Amputation ◽  
Prosthetic Alignment ◽  
Assessment Measures ◽  
Transtibial Amputees

ABSTRACT Introduction Amputations secondary to high-energy open fractures and blast, ballistic, and crush injuries to the lower extremity are common challenges faced by military and civilian orthopaedic surgeons. A lack of consensus on domains to be measured and quality of prosthetic rendering pose methodological challenges to researchers and clinicians alike. We conducted a systematic review of the literature to summarize which domains of health, prosthetic fit, and prosthetic alignment are used to describe outcomes for lower extremity amputees secondary to trauma. Materials and methods A search of PubMed, Cochrane, and Embase was conducted including the keywords: Amputation, traumatic, transtibial, survey, and metric. Articles were selected based on whether the study assessed clinical outcomes following transtibial amputation following trauma. Experimental and observational comparative studies and case series were included. Study characteristics and results were extracted using standardized data forms. The number of unique measures recorded, the frequency of measure use, and the number outcome measures were validated and were compiled. Results Literature search ultimately resulted in 273 articles being included. A conceptual model was constructed to capture and organize the causal and temporal relationships between fit, alignment, and outcome. Of the 68 articles that used questionnaires to assess prosthetic fit, 37 used a questionnaire designed specifically for the study as opposed to a published or validated tool. Four validated tools were commonly used to capture patient satisfaction with a prosthesis: The OPUS, PEQ, TAPES, and the Socket Comfort Fit Score. Prosthetic alignment was assessed in 19 of 273 articles. One article validated the use of an alignment jig for quantification and prescription of prostheses. Totally, 8 of 19 articles assessing alignment used gait analysis and ground reaction forces to capture differences due to alterations in alignment. Discussion Choice of an appropriate outcome measure is critical in generating evidence to support treatment decisions for patients undergoing transtibial amputation after trauma. We found a large number of different tools being used across studies, making results difficult to compare. Prosthetic fit and comfort of the residual limb in the socket and the alignment of the socket and the shank of the prosthesis make up the foundation for the proposed conceptual model. In order to distinguish effects attributable to an intervention of interest vs the impact of the quality of the socket fitting, validation of a clinically objective scoring system to assess socket fit is necessary. Conclusion A large number of different tools are currently being used across studies to assess outcomes for transtibial amputees resulting from trauma, and there is a need for development and validation of a clinically objective scoring system to assess socket fit. Baumgartner R, Morshed S. Assessment Measures for Evaluation of Outcomes in Transtibial Amputees resulting from Trauma: A Systematic Review. The Duke Orthop J 2017;7(1):23-29.

Improved Quality of Life After Transtibial Amputation in Patients With Diabetes-Related Foot Complications

2017 ◽  
Vol 16 (2) ◽  
pp. 114-121 ◽  
Author(s):  
Dane K. Wukich ◽  
Junho Ahn ◽  
Katherine M. Raspovic ◽  
Javier La Fontaine ◽  
Larry A. Lavery
Keyword(s):  
Quality Of Life ◽  
Lower Extremity ◽  
Short Form ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Lower Extremity Function ◽  
Transtibial Amputation ◽  
Sf 36 ◽  
Patients With Diabetes

The purpose of this study was to evaluate health-related quality of life after major lower-extremity amputation in a cohort of patients with diabetes mellitus. We evaluated 81 patients with diabetes and transtibial amputation (TTA) who had a minimum of 1 year of follow-up. Of these 81 patients, 50.6% completed the Short Form Survey (SF-36) and the Foot and Ankle Ability Measure (FAAM) preoperatively and postoperatively. Outcome measures before and after TTA were compared using Welch’s ANOVA for continuous variables and Fisher’s exact test for categorical variables. There was significant improvement in all 8 subscales of the SF-36, physical component summary (PCS) score, mental component summary (MCS) score, and the FAAM. The median SF-36 PCS score improved from 26.2 to 36.6 preoperatively versus postoperatively ( P < .0005). The postoperative PCS score improved in 75.6% of patients and worsened in 24.4%. The median SF-36 MCS score improved from 43.7 to 56.1 preoperatively versus postoperatively ( P < .0005). Both the FAAM activities of daily living (ADL; P < .005) and FAAM sports scores ( P < .05) improved significantly. The postoperative FAAM general/ADL score improved in 75.6% of patients and worsened in 24.4%. Patients who were nonambulatory postoperatively had significantly lower SF-36 general health subscale scores and lower FAAM scores than patients who were ambulatory postoperatively. In select patients with nonfunctional lower extremities resulting from instability and/or chronic infection, TTA can result in significant improvement in quality of life and lower-extremity function. We acknowledge that 25% of patients had a reduction in self-reported quality of life; however, 75% of patients improved their quality of life.

scholarly journals Author Correction: Lower Extremity Joint Contributions to Trunk Control During Walking in Persons with Transtibial Amputation

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Adam J. Yoder ◽  
Amy Silder ◽  
Shawn Farrokhi ◽  
Christopher L. Dearth ◽  
Brad D. Hendershot
Keyword(s):  
Lower Extremity ◽  
Trunk Control ◽  
Transtibial Amputation

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

scholarly journals A general model for estimating lower extremity inertial properties of individuals with transtibial amputation

2017 ◽  
Vol 54 ◽  
pp. 44-48 ◽  
Author(s):  
Abbie E. Ferris ◽  
Jeremy D. Smith ◽  
Gary D. Heise ◽  
Richard N. Hinrichs ◽  
Philip E. Martin
Keyword(s):  
Lower Extremity ◽  
General Model ◽  
Transtibial Amputation

A guillotine amputation at the ankle level—how to quickly remove a septic foot: a case report

2021 ◽  
Vol 30 (Sup9) ◽  
pp. S17-S23
Author(s):  
Kristie Ho ◽  
Sandra Arias ◽  
Donald Roshan ◽  
Katie Dishner ◽  
Marisse Lardizabal ◽  
...  
Keyword(s):  
Case Report ◽  
Mortality Rate ◽  
Lower Extremity ◽  
Female Patient ◽  
High Mortality ◽  
Necrotising Fasciitis ◽  
Transtibial Amputation ◽  
Knowing How ◽  
Systemic Sepsis ◽  
Simple Step

As of 2014, diabetes is estimated to affect 422 million people globally. It is well recognised that lower extremity amputations secondary to diabetes have a high mortality rate perioperatively. The purpose of this article is to provide a simple, step-by-step guide to surgeons who need to perform a transtibial amputation. The case report of a 62-year-old female patient with poorly controlled diabetes who developed necrotising fasciitis of the lower extremity and systemic sepsis is used to illustrate the procedure. Knowing how to complete this operation is essential due to its effectiveness in quickly eliminating a source of pedal sepsis.

Utilization of a lower extremity ambulatory feedback system to reduce gait asymmetry in transtibial amputation gait

2012 ◽  
Vol 36 (3) ◽  
pp. 631-634 ◽  
Author(s):  
L. Yang ◽  
P.S. Dyer ◽  
R.J. Carson ◽  
J.B. Webster ◽  
K. Bo Foreman ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Feedback System ◽  
Transtibial Amputation ◽  
Gait Asymmetry

Osteocutaneous Pedicle Flap Transfer for Salvage of Transtibial Amputation After Severe Lower-Extremity Injury

2012 ◽  
Vol 94 (5) ◽  
pp. 447-454 ◽  
Author(s):  
Heather A Vallier ◽  
Steven J Fitzgerald ◽  
Meghan E Beddow ◽  
John K Sontich ◽  
Brendan M Patterson
Keyword(s):  
Lower Extremity ◽  
Lower Extremity Injury ◽  
Extremity Injury ◽  
Pedicle Flap ◽  
Transtibial Amputation ◽  
Flap Transfer

Combining Values

2002 ◽  
Vol 7 (2) ◽  
pp. 1-4, 12 ◽  
Author(s):  
Christopher R. Brigham
Keyword(s):  
Lower Extremity ◽  
Upper Extremity ◽  
Evaluation Method ◽  
Proximal Phalanx ◽  
Common Error ◽  
The Third ◽  
Whole Person ◽  
Impairment Ratings ◽  
Upper Extremity Impairment ◽  
The Individual

Abstract To account for the effects of multiple impairments, evaluating physicians must provide a summary value that combines multiple impairments so the whole person impairment is equal to or less than the sum of all the individual impairment values. A common error is to add values that should be combined and typically results in an inflated rating. The Combined Values Chart in the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, includes instructions that guide physicians about combining impairment ratings. For example, impairment values within a region generally are combined and converted to a whole person permanent impairment before combination with the results from other regions (exceptions include certain impairments of the spine and extremities). When they combine three or more values, physicians should select and combine the two lowest values; this value is combined with the third value to yield the total value. Upper extremity impairment ratings are combined based on the principle that a second and each succeeding impairment applies not to the whole unit (eg, whole finger) but only to the part that remains (eg, proximal phalanx). Physicians who combine lower extremity impairments usually use only one evaluation method, but, if more than one method is used, the physician should use the Combined Values Chart.

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