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dc.contributor.authorDemiralp, Bahtiyar
dc.contributor.authorEge, Tolga
dc.contributor.authorKöse, Özkan
dc.contributor.authorYurttaş, Yüksel
dc.contributor.authorBaşbozkurt, Mustafa
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:36:31Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:36:31Z
dc.date.issued2014en_US
dc.identifier.citationDemiralp, B., Ege, T., Köse, Ö., Yurttaş, Y. ve Başbozkurt, M. (2014). Amputation versus functional reconstruction in the management of complex hind foot injuries caused by land-mine explosions: A long-term retrospective comparison. European Journal of Orthopaedic Surgery and Traumatology, 24(4), 621-626. https://dx.doi.org/10.1007/s00590-013-1345-4en_US
dc.identifier.issn1633-8065
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1188
dc.identifier.urihttps://dx.doi.org/10.1007/s00590-013-1345-4
dc.description.abstractThe purpose of this study is to compare the long-term clinical outcomes of patients who were treated with either hind foot reconstruction or amputation in complex hind foot injuries accompanied with bone and soft tissue loss due to land-mine explosions. Between 1994 and 2004, all patients with hind foot complex injuries due to land-mine explosion, who were operated in our clinic, were enrolled to the study. All patients were evaluated with Short-Form 36 (SF-36), Foot and Ankle Disability Index (FADI) and Body Image Quality of Life Inventory (BIQLI) after a mean of 15.1 ± 2.2 (range 9-19) years of follow-up. Demographic characteristics, number of operations, necessity of psychiatric treatment and all complications were compared between groups. There were a total of 42 patients [21 in reconstruction group (Gr I) and 21 in amputation group (Gr II)]. The mean age at the time of final follow-up was 38.4 ± 3.04 years in Gr I and 38.2 ± 4.24 years in Gr II (p = 0.732). The mean follow-up duration was 15.7 ± 2.07 years in Gr I and 14.57 ± 2.29 years in Gr II (p = 0.081). The number of operations was significantly higher in Gr I (8.66 ± 10.2 times vs. 4.42 ± 7.7 times, respectively, p = 0.001). The mean FADI score at the final follow-up was 64.3 ± 18.1 in Gr I. In amputation group, more patients needed psychotherapy due to major depression (12 patients vs. 4 patients, p = 0.012). Major complications in Gr I were musculocutaneous flap atrophy in calcaneal region (n = 8 patients), limited ankle motion (n = 11) and painful osteophytes on plantar region (n = 6). In Gr II, stump problems were dominating (pain and tenderness n = 10, ulcer n = 2, allergic skin lesions n = 7, painful neuroma n = 10, bony spur n = 5, paresthesia n = 1, excessive sweating n = 12). At the final visit, although SF-36 scores were similar between groups (p = 0.182), extremity reconstruction group had significantly higher BIQLI scores than the amputation group (p = 0.016). If the dorsalis pedis is intact and midfoot and forefoot is relatively protected, hind foot reconstruction should be attempted. Long-term outcomes of hind foot reconstruction are satisfactory with minor complications and better BIQLI.en_US
dc.language.isoengen_US
dc.publisherSpringer-Verlag Franceen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHind Footen_US
dc.subjectIlizarov Methoden_US
dc.subjectLand-Mine Injuriesen_US
dc.subjectOpen Calcaneal Fracturesen_US
dc.subjectReconstructionen_US
dc.titleAmputation versus functional reconstruction in the management of complex hind foot injuries caused by land-mine explosions: A long-term retrospective comparisonen_US
dc.typearticleen_US
dc.relation.journalEuropean Journal of Orthopaedic Surgery and Traumatologyen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.identifier.volume24en_US
dc.identifier.issue4en_US
dc.identifier.startpage621en_US
dc.identifier.endpage626en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1007/s00590-013-1345-4en_US


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