ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024
Mental health is strongly associated with capability after lower extremity injury treated with free flap limb salvage or amputation.
Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 11 citations in OpenAlex.
- Variables associated with patient-reported outcomes and their trajectories following lower extremity free flap reconstruction.JPRAS open · 2026Article
- Mental Health Risk Factors for Postoperative Pain in Head and Neck Free Flap Reconstruction Patients.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
- [Clinical efficacy of applying orthoplastic principle in treating Gustilo type ⅢB open ankle joint fractures].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026Article
- Baseline PTSD and depressive symptoms predict multidimensional recovery after combat-related transtibial amputation: a prospective cohort study.Frontiers in rehabilitation sciences · 2026Article
- Trends in Lower Limb Orthoplastic Surgery: A Bibliometric Analysis.Plastic and reconstructive surgery. Global open · 2026Article
- Long-Term Functional Outcomes and Quality of Life After Microvascular Reconstruction of Ankle and Foot Defects: A Monocentric Controlled Cohort Study.Life (Basel, Switzerland) · 2025Article
- Enhancing Quality of Life in Patients with Acute Wounds: The Synergistic Effects of Negative Pressure Wound Therapy and Physiotherapy.Biomedicines · 2025Article
- Physical and Psychological Burden of Bed Rest on Patients Following Free Flap Reconstruction of the Lower Limb: A Systematic Review and Possible Solutions.Journal of clinical medicine · 2025Review
- The Debilitating Physical and Emotional Effects of Limb Deformity: A Tertiary Center Observational Study Utilizing the Limb Deformity-Modified Scoliosis Research Society Score (LD-SRS).Journal of clinical medicine · 2025Article
- "Y" Configuration of the Arterial Pedicle or the Use of a Saphenous Vein Graft for Microsurgical Reconstruction in the Old and Diseased-A Retrospective Study.Journal of clinical medicine · 2024Article
Corrections and comments
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Authors and funding
10 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundKnowledge about factors associated with long-term outcomes, after severe traumatic injury to the lower extremity, can aid with the difficult decision whether to salvage or amputate the leg and improve outcome. We therefore studied factors independently associated with capability at a minimum of 1 year after amputation or free flap limb salvage.
methodsWe included 135 subjects with a free flap lower extremity reconstruction and 41 subjects with amputation, between 1991 and 2021 at two urban-level 1 trauma centers with a mean follow-up of 11 ± 7 years. Long-term physical functioning was assessed using the Physical Component Score (PCS) of the Short-Form 36 (SF36) and the Lower Extremity Functional Scale (LEFS) questionnaires. Independent variables included demographics, injury characteristics, and the Mental Component Score (MCS) of the SF36.
resultsGreater mental health was independently and strongly associated with greater capability, independent of amputation or limb reconstruction. Mental health explained 33% of the variation in PCS and 57% of the variation in LEFS. Injury location at the knee or leg was associated with greater capability, compared to the foot or ankle. Amputation or limb reconstruction was not associated with capability. DISCUSSION: This study adds to the growing body of knowledge that physical health is best regarded through the lens of the bio-psycho-social model in which mental health is a strong determinant. This study supports making mental health an important aspect of rehabilitation after major lower extremity injury, regardless of amputation or limb salvage.
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