Outcomes After Severe Distal Tibia, Ankle, and/or Foot Trauma: Comparison of Limb Salvage Versus Transtibial Amputation (OUTLET)

Michael J Bosse; David Teague; Lisa Reider; Joshua L Gary; Saam Morshed; Rachel B Seymour; James Toledano; Lisa K Cannada; Barbara Steverson; Daniel O Scharfstein; Jason Luly; Ellen J MacKenzie; METRC

doi:10.1097/BOT.0000000000000799

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Outcomes After Severe Distal Tibia, Ankle, and/or Foot Trauma: Comparison of Limb Salvage Versus Transtibial Amputation (OUTLET)

Journal article

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Outcomes After Severe Distal Tibia, Ankle, and/or Foot Trauma: Comparison of Limb Salvage Versus Transtibial Amputation (OUTLET)

Michael J Bosse, David Teague, Lisa Reider, Joshua L Gary, Saam Morshed, Rachel B Seymour, James Toledano, Lisa K Cannada, Barbara Steverson, Daniel O Scharfstein, …

Journal of orthopaedic trauma, Vol.31 Suppl 1(1), pp.S48-S55

04/2017

DOI: 10.1097/BOT.0000000000000799

PMID: 28323802

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Abstract

Severe foot and ankle injuries are complex and challenging to treat, often requiring multiple operations to salvage the limb contributing to a prolonged healing period. There is some evidence to suggest that early amputation for some patients may result in better long-term outcomes than limb salvage. The challenge is to identify the regional injury burden for an individual that would suggest a better outcome with an amputation. The OUTLET study is a prospective, multicenter observational study comparing 18-month outcomes after limb salvage versus early amputation among patients aged 18-60 years with severe distal tibia, ankle, and foot injuries. This study aims to build upon the previous work of the Lower Extremity Assessment Project by identifying the injury and patient characteristics that help define a subgroup of salvage patients who will have better outcomes had they undergone a transtibial amputation.

Tibial Fractures - epidemiology

United States - epidemiology

Tibial Fractures - diagnosis

Prospective Studies

Ankle Injuries - surgery

Humans

Middle Aged

Ankle Injuries - epidemiology

Male

Treatment Outcome

Trauma Severity Indices

Tibia - surgery

Young Adult

Tibial Fractures - surgery

Ankle Injuries - diagnosis

Foot Injuries - surgery

Adolescent

Adult

Female

Foot Injuries - diagnosis

Amputation - utilization

Foot Injuries - epidemiology

Limb Salvage - utilization

Details

Title: Subtitle: Outcomes After Severe Distal Tibia, Ankle, and/or Foot Trauma: Comparison of Limb Salvage Versus Transtibial Amputation (OUTLET)
Creators: Michael J Bosse - Department of Orthopaedic Surgery, Carolinas Medical Center; †Department of Orthopaedic Surgery, University of Oklahoma College of Medicine; ‡Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health; §Department of Orthopaedic Surgery, McGovern Medical School at UTHealth Houston; ‖Orthopaedic Trauma Institute, Zuckerberg San Francisco General Hospital, University of California San Francisco; ¶Department of Orthopaedic Surgery, Naval Medical Center San Diego; Department of Orthopaedic Surgery, Saint Louis University; ††Orthopaedic Trauma Service, Tampa General Hospital, Florida Orthopaedic Institute; and ‡‡Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health
David Teague
Lisa Reider
Joshua L Gary
Saam Morshed
Rachel B Seymour
James Toledano
Lisa K Cannada
Barbara Steverson
Daniel O Scharfstein
Jason Luly
Ellen J MacKenzie
METRC
Contributors: Jason M Wilken (Contributor) - University of Iowa, Physical Therapy and Rehabilitation Science
Resource Type: Journal article
Publication Details: Journal of orthopaedic trauma, Vol.31 Suppl 1(1), pp.S48-S55
Publisher: United States
DOI: 10.1097/BOT.0000000000000799
PMID: 28323802
ISSN: 0890-5339
eISSN: 1531-2291
Language: English
Date published: 04/2017
Academic Unit: Physical Therapy and Rehabilitation Science
Record Identifier: 9984047899702771

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