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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research


    Annals of Medical Research indexed in TÜBİTAK/ULAKBİM Tıp Veri Tabanı

  • Annals of Medical Research


    Annals of Medical Research indexed in

  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is It is published monthly.

Editor-in-Chief
Cuneyt Kayaalp

 

Level of surgery does not affect the reamputation rates in patients with diabetic foot ulcers requiring amputation of the ankle or foot (p.1637-40)

Level of surgery does not affect the reamputation rates in patients with diabetic foot ulcers requiring amputation of the ankle or foot (p.1637-40)

Cenk Ermutlu1, Selcan Akesen2
1Uludag University, Faculty of Medicine, Department of Orthopedics and Traumatology, Bursa, Turkey
2Uludag University, Faculty of Medicine, Department of Anesthesia and Reanimation, Bursa, Turkey

Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.

Abstract

Aim: In this retrospective study, we aimed to evaluate the effect of amputation level on reamputation rates and need for additional surgeries in patients with type 2 diabetes mellitus.
Material and Methods: Patients who were amputated at the foot and ankle level for diabetic foot ulcers between 2010 and 2019 at our institution were retrospectively evaluated. Amputation types (proximal to distal; Syme, Boyd, Chopart, Lisfranc, Transmetatarsal), previous amputations, need for additional surgeries and reamputations were noted. The effect of amputation level on reamputation and reoperation rates was statistically evaluated.
Results: Thirty-one patients (27 male, 4 female) with mean age of 65 years (range 45-84) were included. Reamputation rates for Syme, Boyd, Chopart, Lisfranc and Transmetatarsal (TMA) amputations were 50%, 55%, 50%, 66% and 75% respectively. Fifty percent of the cases in the Syme group, 78% in the Boyd group, 75% in the Chopart group, 83% in the Lisfranc group and 75% in the TMA group required repeating surgeries. There was no significant difference in terms of reamputation and reoperation rates between amputation levels.
Conclusion: If the level of amputation is determined based on viability of the skin flap that would be required for soft tissue cover and confirmed intraoperatively by inspecting the perfusion of the stump, the amputation level does not have influence on reamputation rates at the foot and ankle. When performing this irreversible procedure, the patient must be well informed about the possible functional outcomes, prosthesis options and reamputation rates.

Keywords: Amputation; ankle; diabetic foot; foot ulcers

 

 

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doi: 10.5455/annalsmedres.2020.01.086  

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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