Lower Extremity Function following Partial Calcanectomy in High-Risk Limb Salvage Patients
Partial calcanectomy (PC) is an established limb salvage procedure for treatment of deep heel ulceration with concomitant calcaneal osteomyelitis. The purpose of this study is to determine if a relationship exists between the amount of calcaneus removed during PC and the resulting lower extremity fu...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2015/432164 |
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| author | Noah G. Oliver John S. Steinberg Kelly Powers Karen K. Evans Paul J. Kim Christopher E. Attinger |
| author_facet | Noah G. Oliver John S. Steinberg Kelly Powers Karen K. Evans Paul J. Kim Christopher E. Attinger |
| author_sort | Noah G. Oliver |
| collection | DOAJ |
| description | Partial calcanectomy (PC) is an established limb salvage procedure for treatment of deep heel ulceration with concomitant calcaneal osteomyelitis. The purpose of this study is to determine if a relationship exists between the amount of calcaneus removed during PC and the resulting lower extremity function and limb salvage outcomes. Consecutive PC patients were retrospectively divided into two cohorts defined by the amount of calcaneus resected before wound closure: patients in cohort 1 retained = 50% of calcaneus, while patients in cohort 2 underwent resection of >50% of the calcaneus. The Lower Extremity Function Scale (LEFS) was used to assess postoperative lower extremity function. The average amount of calcaneus resected was 13% ± 9.2 (1–39%) and 74% ± 19.5 (51–100) in cohorts 1 and 2, respectively (P<0.0001). Below knee amputation was performed in 7 (28%) and 5 (29%) of subjects in cohorts 1 and 2, respectively (P=1.0). The average LEFS score was 33.9 ± 15.0 for subjects in cohort 1 and 36.2 ± 19.9 for the subjects cohort 2 (P=0.8257) which correlates to “moderate to quite a bit of difficulty.” Our study suggests that regardless of the amount of calcaneus resected, PC provides a viable treatment option for high-risk patients with calcaneal osteomyelitis. |
| format | Article |
| id | doaj-art-a40a991e21424db4b7d2685e8bc0bd41 |
| institution | OA Journals |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-a40a991e21424db4b7d2685e8bc0bd412025-08-20T02:20:20ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/432164432164Lower Extremity Function following Partial Calcanectomy in High-Risk Limb Salvage PatientsNoah G. Oliver0John S. Steinberg1Kelly Powers2Karen K. Evans3Paul J. Kim4Christopher E. Attinger5Department of Plastic Surgery, Medstar Georgetown University Hospital, 3800 Reservoir Road Northwest, Washington, DC 20007, USADepartment of Plastic Surgery, Georgetown University School of Medicine, 3800 Reservoir Road Northwest, Washington, DC 20007, USADepartment of Plastic Surgery, Medstar Georgetown University Hospital, 3800 Reservoir Road Northwest, Washington, DC 20007, USADepartment of Plastic Surgery, Georgetown University School of Medicine, 3800 Reservoir Road Northwest, Washington, DC 20007, USADepartment of Plastic Surgery, Georgetown University School of Medicine, 3800 Reservoir Road Northwest, Washington, DC 20007, USADepartment of Plastic Surgery, Georgetown University School of Medicine, 3800 Reservoir Road Northwest, Washington, DC 20007, USAPartial calcanectomy (PC) is an established limb salvage procedure for treatment of deep heel ulceration with concomitant calcaneal osteomyelitis. The purpose of this study is to determine if a relationship exists between the amount of calcaneus removed during PC and the resulting lower extremity function and limb salvage outcomes. Consecutive PC patients were retrospectively divided into two cohorts defined by the amount of calcaneus resected before wound closure: patients in cohort 1 retained = 50% of calcaneus, while patients in cohort 2 underwent resection of >50% of the calcaneus. The Lower Extremity Function Scale (LEFS) was used to assess postoperative lower extremity function. The average amount of calcaneus resected was 13% ± 9.2 (1–39%) and 74% ± 19.5 (51–100) in cohorts 1 and 2, respectively (P<0.0001). Below knee amputation was performed in 7 (28%) and 5 (29%) of subjects in cohorts 1 and 2, respectively (P=1.0). The average LEFS score was 33.9 ± 15.0 for subjects in cohort 1 and 36.2 ± 19.9 for the subjects cohort 2 (P=0.8257) which correlates to “moderate to quite a bit of difficulty.” Our study suggests that regardless of the amount of calcaneus resected, PC provides a viable treatment option for high-risk patients with calcaneal osteomyelitis.http://dx.doi.org/10.1155/2015/432164 |
| spellingShingle | Noah G. Oliver John S. Steinberg Kelly Powers Karen K. Evans Paul J. Kim Christopher E. Attinger Lower Extremity Function following Partial Calcanectomy in High-Risk Limb Salvage Patients Journal of Diabetes Research |
| title | Lower Extremity Function following Partial Calcanectomy in High-Risk Limb Salvage Patients |
| title_full | Lower Extremity Function following Partial Calcanectomy in High-Risk Limb Salvage Patients |
| title_fullStr | Lower Extremity Function following Partial Calcanectomy in High-Risk Limb Salvage Patients |
| title_full_unstemmed | Lower Extremity Function following Partial Calcanectomy in High-Risk Limb Salvage Patients |
| title_short | Lower Extremity Function following Partial Calcanectomy in High-Risk Limb Salvage Patients |
| title_sort | lower extremity function following partial calcanectomy in high risk limb salvage patients |
| url | http://dx.doi.org/10.1155/2015/432164 |
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