Category:Ankle, Diabetes, Lesser Toes, Midfoot/ForefootIntroduction/Purpose:Maximal limb preservation is often the goal in choosing partial foot amputation (PFA) as a treat-ment for diabetic foot infections. Some of these patients will go on to experience multiple hospital admissions, IV antibiotic courses, surgical debridements, re-amputations and other medical compli-cations. This study describes the treatment course of these patients starting at second partial foot amputation and ending at 5 year follow-up.Methods:A retrospective cohort was built from a database of all amputation procedures performed on diabet-ic patients at the University of Iowa Department of Orthopedics from 2000 – 2015. The cohort was evaluated over time frame starting at second PFA (index procedure) and ending at 5 years after in-dex procedure. Of 264 patients who underwent partial foot amputation, 49 experienced two lower extremities PFA between January 2000 and December 2011 (cut-off used to allow minimum of 5 years post-PFA). D...
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机译：类别：踝关节，糖尿病，小脚趾，中脚/前脚脚简介/目的：最大程度地保留肢体通常是选择部分截肢（PFA）作为糖尿病足感染治疗的目标。这些患者中的一些将继续经历多次入院，静脉内抗生素疗程，外科清创术，再次截肢和其他医疗并发症。这项研究描述了这些患者的治疗过程，从第二次部分脚截肢开始到5年随访结束。方法：根据爱荷华大学大学糖尿病患者所有截肢手术的数据库建立回顾性队列研究。研究对象为2000年至2015年的骨科医师。该队列在第二次PFA（索引程序）开始，在指数操作后5年结束时进行了时间范围内的评估。在264例行部分截肢手术的患者中，有49例在2000年1月至2011年12月之间经历了两次下肢PFA（PFA后至少要保留5年才是临界值）。 D ...
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