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ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Outcomes and risk factors for complications, readmissions, and reoperations following below-knee amputation: a comprehensive analysis beyond the 30-day window.

Caleb J Bischoff, Joshua A Scheiderer, Ashwin R Garlapaty, Jinpu Li, Emily V Leary, Kyle Schweser, James P Stannard, Gregory J Della Rocca, Mauricio Kfuri, Brett D Crist

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Caleb J BischoffDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA. bischoffcj@health.missouri.edu.
Joshua A ScheidererDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.
Ashwin R GarlapatyDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.
Jinpu LiDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.
Emily V LearyDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.
Kyle SchweserDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.
James P StannardDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.
Gregory J Della RoccaDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.
Mauricio KfuriDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.
Brett D CristDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA. cristb@health.missouri.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluates the long-term outcomes following below-knee amputation (BKA), focusing on reoperations, readmissions, complications and mortality at 180 and 365 days. It aims to identify key risk factors and address the underreporting of long-term outcomes.

methodsThis retrospective study analyzed adult BKA patients (2005-2022) at a Level I trauma center, analyzing demographics, surgical details, and comorbidities to assess long-term outcomes using statistical analyses (p < 0.05).

resultsThe study assessed 376 BKAs. Patients had a mean age of 51.4 years and body mass index (BMI) of 32.7 kg/m

conclusionA substantial proportion of BKA complications and deaths occur beyond 30 days. Risk-tailored perioperative management and extended follow-up are essential to improving patient outcomes and reducing long-term healthcare burdens.

Indexed as

Amputation, SurgicalPatient ReadmissionPostoperative ComplicationsReoperationAdultAgedAge FactorsFemaleHumansLegMaleMiddle AgedRetrospective StudiesRisk FactorsTime FactorsBelow-knee amputation (BKA)Long-term outcomesPostoperative complicationsPreoperative optimizationRisk factors

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.