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dc.contributor.authorBeyaz, Salih
dc.contributor.authorGuler, Umit Ozgur
dc.contributor.authorBagir, Gulay Simsek
dc.date.accessioned2019-06-01T14:09:31Z
dc.date.available2019-06-01T14:09:31Z
dc.date.issued2017
dc.identifier.issn1017-995X
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S1017995X16304072?via%3Dihub
dc.identifier.urihttp://hdl.handle.net/11727/3376
dc.description.abstractIntroduction: Untreatable foot problems in diabetics may require lower extremity amputation, which has a high level of patient mortality. This high mortality rate is worse than most malignancies. The present study aimed to identify parameters that can be used to estimate survival in DM patients undergoing below-knee amputations for diabetic foot problems. Materials and methods: A total of 470 patients (299 males, 171 females) with a mean age of 64.32 years who underwent below-knee amputation for diabetic foot problems between 2004 and 2014 were enrolled in the study. The length of time from the operation to time of death was recorded in days. Patient details were obtained, including age during surgery, BMI, oral antidiabetic and insulin usage, dialysis therapy history, lower extremity endovascular intervention, previous amputation at the same extremity, the need for stump revision surgery during follow-up, and above-knee amputation at the same site. Biochemical test results of pre-operative HbAl c, ESR, and levels of CRP, BUN, and creatinine were also obtained. Results: A total of 333 patients (70.9%) died and 137 (29.1%) survived post-surgery. Survival rates were 90% in the first 7 days, 84% in the first 30 days, and 64% after the first year. Patient median life expectancy post-surgery was 930 106 days. Hemodialysis treatment (p = 0.001), endovascular intervention (p = 0.04), sex (p = 0.004), age (p = 0.001), BUN level (p = 0.001), and duration of insulin use (p = 0.003) were shown to be effective predictors of mortality. Conclusions: Life expectancy is low (<3 years) in DM patients requiring below-knee amputations for untreatable foot problems. Survival could be predicted by duration of insulin use, age, sex, and renal insufficiency. Level of evidence: Level IV, Therapeutic study. (C) 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.en_US
dc.language.isoengen_US
dc.relation.isversionof10.1016/j.aott.2017.07.001en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDiabetic footen_US
dc.subjectHemodialysisen_US
dc.subjectBelow-knee amputationen_US
dc.subjectLife expectancyen_US
dc.titleFactors affecting lifespan following below-knee amputation in diabetic patientsen_US
dc.typearticleen_US
dc.relation.journalACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICAen_US
dc.identifier.volume51en_US
dc.identifier.issue5en_US
dc.identifier.startpage393en_US
dc.identifier.endpage397en_US
dc.identifier.wos000417251000008


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