Outcomes after severe distal tibia, ankle, and/or foot trauma: Comparison of limb salvage versus transtibial amputation (OUTLET)

Michael J. Bosse; David Teague; Lisa Reider; Joshua L. Gary; Saam Morshed; Rachel B. Seymour; James Toledano; Lisa K. Cannada; Barbara Steverson; Daniel O Scharfstein; Jason Luly; Ellen J. MacKenzie; W. M. Ricci; C. M. McAndrew; A. N. Miller; M. J. Gardner; A. Spraggs-Hughes; C. Churchill; J. R. Hsu; S. H. Sims; M. A. Karunakar; D. J. Hak; C. Mauffrey; P. F. Stahel; H. J. Gissel; C. E. Henderson; R. M. Reilly; R. D. Zura; M. Manson; J. O. Anglen; B. H. Mullis; H. R. Mir; A. H. Schmidt; G. E. Mirick; J. R. Westberg; S. R. Konda; A. T. Sorkin; K. D. Shively; G. E. Gaski; J. P. Ertl; L. C. Hill; H. A. Vallier; M. A. Breslin; J. Langford; P. J. Harriott; K. M. Kuhn; D. C. Gregory; D. L. Sietsema; C. B. Jones; A. H. Horne; R. A. Hayda; C. T. Born; M. J. Crisco; D. J. Stinner; P. M. Osborn; M. Norton; J. M. Wilken; J. T. Watson; S. A. Dawson; W. C. McGarvey; A. Choo; J. W. Munz; M. C. Galpin; T. Miclau; T. Belaye; M. Willey; T. Manson; C. T. LeBrun; R. V. O'Toole; A. L. Howe; J. W. Nascone; Y. Degani; M. F. Sciadini; J. J. Hutson; G. M. Zych; P. F. Bergin; M. L. Graves; G. V. Russell; C. A. Spitler; J. Hydrick; W. J. Ertl; Z. V. Roberts; I. S. Tarkin; D. B. Weiss; V. LesterBallard; R. Firoozabadi; J. Agel; W. T. Obremskey; A. Rodriguez-Buitrago; A. A. Jahangir; M. K. Sethi; V. Gajari; E. J. Burgos; R. R. Tummuru; K. R. Archer; E. A. Carroll; J. B. Goodman; J. J. Halvorson; M. B. Holden; W. T. Gordon; X. Ceniceros; S. L. Waggoner; L. E. Allen; A. R. Carlini; R. C. Castillo; R. Kirk; S. Quinnan

doi:10.1097/BOT.0000000000000799

Outcomes after severe distal tibia, ankle, and/or foot trauma: Comparison of limb salvage versus transtibial amputation (OUTLET)

Michael J. Bosse, David Teague, Lisa Reider, Joshua L. Gary, Saam Morshed, Rachel B. Seymour, James Toledano, Lisa K. Cannada, Barbara Steverson, Daniel O Scharfstein, Jason Luly, Ellen J. MacKenzie, W. M. Ricci, C. M. McAndrew, A. N. Miller, M. J. Gardner, A. Spraggs-Hughes, C. Churchill, J. R. Hsu, S. H. SimsM. A. Karunakar, D. J. Hak, C. Mauffrey, P. F. Stahel, H. J. Gissel, C. E. Henderson, R. M. Reilly, R. D. Zura, M. Manson, J. O. Anglen, B. H. Mullis, H. R. Mir, A. H. Schmidt, G. E. Mirick, J. R. Westberg, S. R. Konda, A. T. Sorkin, K. D. Shively, G. E. Gaski, J. P. Ertl, L. C. Hill, H. A. Vallier, M. A. Breslin, J. Langford, P. J. Harriott, K. M. Kuhn, D. C. Gregory, D. L. Sietsema, C. B. Jones, A. H. Horne, R. A. Hayda, C. T. Born, M. J. Crisco, D. J. Stinner, P. M. Osborn, M. Norton, J. M. Wilken, J. T. Watson, S. A. Dawson, W. C. McGarvey, A. Choo, J. W. Munz, M. C. Galpin, T. Miclau, T. Belaye, M. Willey, T. Manson, C. T. LeBrun, R. V. O'Toole, A. L. Howe, J. W. Nascone, Y. Degani, M. F. Sciadini, J. J. Hutson, G. M. Zych, P. F. Bergin, M. L. Graves, G. V. Russell, C. A. Spitler, J. Hydrick, W. J. Ertl, Z. V. Roberts, I. S. Tarkin, D. B. Weiss, V. LesterBallard, R. Firoozabadi, J. Agel, W. T. Obremskey, A. Rodriguez-Buitrago, A. A. Jahangir, M. K. Sethi, V. Gajari, E. J. Burgos, R. R. Tummuru, K. R. Archer, E. A. Carroll, J. B. Goodman, J. J. Halvorson, M. B. Holden, W. T. Gordon, X. Ceniceros, S. L. Waggoner, L. E. Allen, A. R. Carlini, R. C. Castillo, R. Kirk, S. Quinnan

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Severe foot and ankle injuries are complex and challenging to treat, often requiring multiple operations to salvage the limb contributing to a prolonged healing period. There is some evidence to suggest that early amputation for some patients may result in better long-term outcomes than limb salvage. The challenge is to identify the regional injury burden for an individual that would suggest a better outcome with an amputation. The OUTLET study is a prospective, multicenter observational study comparing 18-month outcomes after limb salvage versus early amputation among patients aged 18-60 years with severe distal tibia, ankle, and foot injuries. This study aims to build upon the previous work of the Lower Extremity Assessment Project by identifying the injury and patient characteristics that help define a subgroup of salvage patients who will have better outcomes had they undergone a transtibial amputation.

Original language	English (US)
Pages (from-to)	S48-S55
Journal	Journal of orthopaedic trauma
Volume	31
DOIs	https://doi.org/10.1097/BOT.0000000000000799
State	Published - 2017

Keywords

Amputation
Limb salvage
Severe foot and ankle injuries

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

Access to Document

10.1097/BOT.0000000000000799

Cite this

Bosse, M. J., Teague, D., Reider, L., Gary, J. L., Morshed, S., Seymour, R. B., Toledano, J., Cannada, L. K., Steverson, B., Scharfstein, D. O., Luly, J., MacKenzie, E. J., Ricci, W. M., McAndrew, C. M., Miller, A. N., Gardner, M. J., Spraggs-Hughes, A., Churchill, C., Hsu, J. R., ... Quinnan, S. (2017). Outcomes after severe distal tibia, ankle, and/or foot trauma: Comparison of limb salvage versus transtibial amputation (OUTLET). Journal of orthopaedic trauma, 31, S48-S55. https://doi.org/10.1097/BOT.0000000000000799

Bosse, MJ, Teague, D, Reider, L, Gary, JL, Morshed, S, Seymour, RB, Toledano, J, Cannada, LK, Steverson, B, Scharfstein, DO, Luly, J, MacKenzie, EJ, Ricci, WM, McAndrew, CM, Miller, AN, Gardner, MJ, Spraggs-Hughes, A, Churchill, C, Hsu, JR, Sims, SH, Karunakar, MA, Hak, DJ, Mauffrey, C, Stahel, PF, Gissel, HJ, Henderson, CE, Reilly, RM, Zura, RD, Manson, M, Anglen, JO, Mullis, BH, Mir, HR, Schmidt, AH, Mirick, GE, Westberg, JR, Konda, SR, Sorkin, AT, Shively, KD, Gaski, GE, Ertl, JP, Hill, LC, Vallier, HA, Breslin, MA, Langford, J, Harriott, PJ, Kuhn, KM, Gregory, DC, Sietsema, DL, Jones, CB, Horne, AH, Hayda, RA, Born, CT, Crisco, MJ, Stinner, DJ, Osborn, PM, Norton, M, Wilken, JM, Watson, JT, Dawson, SA, McGarvey, WC, Choo, A, Munz, JW, Galpin, MC, Miclau, T, Belaye, T, Willey, M, Manson, T, LeBrun, CT, O'Toole, RV, Howe, AL, Nascone, JW, Degani, Y, Sciadini, MF, Hutson, JJ, Zych, GM, Bergin, PF, Graves, ML, Russell, GV, Spitler, CA, Hydrick, J, Ertl, WJ, Roberts, ZV, Tarkin, IS, Weiss, DB, LesterBallard, V, Firoozabadi, R, Agel, J, Obremskey, WT, Rodriguez-Buitrago, A, Jahangir, AA, Sethi, MK, Gajari, V, Burgos, EJ, Tummuru, RR, Archer, KR, Carroll, EA, Goodman, JB, Halvorson, JJ, Holden, MB, Gordon, WT, Ceniceros, X, Waggoner, SL, Allen, LE , Carlini, AR , Castillo, RC, Kirk, R & Quinnan, S 2017, 'Outcomes after severe distal tibia, ankle, and/or foot trauma: Comparison of limb salvage versus transtibial amputation (OUTLET)', Journal of orthopaedic trauma, vol. 31, pp. S48-S55. https://doi.org/10.1097/BOT.0000000000000799

@article{fefcb265a82d4250aac3aac29b7dbee1,

title = "Outcomes after severe distal tibia, ankle, and/or foot trauma: Comparison of limb salvage versus transtibial amputation (OUTLET)",

abstract = "Severe foot and ankle injuries are complex and challenging to treat, often requiring multiple operations to salvage the limb contributing to a prolonged healing period. There is some evidence to suggest that early amputation for some patients may result in better long-term outcomes than limb salvage. The challenge is to identify the regional injury burden for an individual that would suggest a better outcome with an amputation. The OUTLET study is a prospective, multicenter observational study comparing 18-month outcomes after limb salvage versus early amputation among patients aged 18-60 years with severe distal tibia, ankle, and foot injuries. This study aims to build upon the previous work of the Lower Extremity Assessment Project by identifying the injury and patient characteristics that help define a subgroup of salvage patients who will have better outcomes had they undergone a transtibial amputation.",

keywords = "Amputation, Limb salvage, Severe foot and ankle injuries",

author = "Bosse, {Michael J.} and David Teague and Lisa Reider and Gary, {Joshua L.} and Saam Morshed and Seymour, {Rachel B.} and James Toledano and Cannada, {Lisa K.} and Barbara Steverson and Scharfstein, {Daniel O} and Jason Luly and MacKenzie, {Ellen J.} and Ricci, {W. M.} and McAndrew, {C. M.} and Miller, {A. N.} and Gardner, {M. J.} and A. Spraggs-Hughes and C. Churchill and Hsu, {J. R.} and Sims, {S. H.} and Karunakar, {M. A.} and Hak, {D. J.} and C. Mauffrey and Stahel, {P. F.} and Gissel, {H. J.} and Henderson, {C. E.} and Reilly, {R. M.} and Zura, {R. D.} and M. Manson and Anglen, {J. O.} and Mullis, {B. H.} and Mir, {H. R.} and Schmidt, {A. H.} and Mirick, {G. E.} and Westberg, {J. R.} and Konda, {S. R.} and Sorkin, {A. T.} and Shively, {K. D.} and Gaski, {G. E.} and Ertl, {J. P.} and Hill, {L. C.} and Vallier, {H. A.} and Breslin, {M. A.} and J. Langford and Harriott, {P. J.} and Kuhn, {K. M.} and Gregory, {D. C.} and Sietsema, {D. L.} and Jones, {C. B.} and Horne, {A. H.} and Hayda, {R. A.} and Born, {C. T.} and Crisco, {M. J.} and Stinner, {D. J.} and Osborn, {P. M.} and M. Norton and Wilken, {J. M.} and Watson, {J. T.} and Dawson, {S. A.} and McGarvey, {W. C.} and A. Choo and Munz, {J. W.} and Galpin, {M. C.} and T. Miclau and T. Belaye and M. Willey and T. Manson and LeBrun, {C. T.} and O'Toole, {R. V.} and Howe, {A. L.} and Nascone, {J. W.} and Y. Degani and Sciadini, {M. F.} and Hutson, {J. J.} and Zych, {G. M.} and Bergin, {P. F.} and Graves, {M. L.} and Russell, {G. V.} and Spitler, {C. A.} and J. Hydrick and Ertl, {W. J.} and Roberts, {Z. V.} and Tarkin, {I. S.} and Weiss, {D. B.} and V. LesterBallard and R. Firoozabadi and J. Agel and Obremskey, {W. T.} and A. Rodriguez-Buitrago and Jahangir, {A. A.} and Sethi, {M. K.} and V. Gajari and Burgos, {E. J.} and Tummuru, {R. R.} and Archer, {K. R.} and Carroll, {E. A.} and Goodman, {J. B.} and Halvorson, {J. J.} and Holden, {M. B.} and Gordon, {W. T.} and X. Ceniceros and Waggoner, {S. L.} and Allen, {L. E.} and Carlini, {A. R.} and Castillo, {R. C.} and R. Kirk and S. Quinnan",

year = "2017",

doi = "10.1097/BOT.0000000000000799",

language = "English (US)",

volume = "31",

pages = "S48--S55",

journal = "Journal of orthopaedic trauma",

issn = "0890-5339",

publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Outcomes after severe distal tibia, ankle, and/or foot trauma

T2 - Comparison of limb salvage versus transtibial amputation (OUTLET)

AU - Bosse, Michael J.

AU - Teague, David

AU - Reider, Lisa

AU - Gary, Joshua L.

AU - Morshed, Saam

AU - Seymour, Rachel B.

AU - Toledano, James

AU - Cannada, Lisa K.

AU - Steverson, Barbara

AU - Scharfstein, Daniel O

AU - Luly, Jason

AU - MacKenzie, Ellen J.

AU - Ricci, W. M.

AU - McAndrew, C. M.

AU - Miller, A. N.

AU - Gardner, M. J.

AU - Spraggs-Hughes, A.

AU - Churchill, C.

AU - Hsu, J. R.

AU - Sims, S. H.

AU - Karunakar, M. A.

AU - Hak, D. J.

AU - Mauffrey, C.

AU - Stahel, P. F.

AU - Gissel, H. J.

AU - Henderson, C. E.

AU - Reilly, R. M.

AU - Zura, R. D.

AU - Manson, M.

AU - Anglen, J. O.

AU - Mullis, B. H.

AU - Mir, H. R.

AU - Schmidt, A. H.

AU - Mirick, G. E.

AU - Westberg, J. R.

AU - Konda, S. R.

AU - Sorkin, A. T.

AU - Shively, K. D.

AU - Gaski, G. E.

AU - Ertl, J. P.

AU - Hill, L. C.

AU - Vallier, H. A.

AU - Breslin, M. A.

AU - Langford, J.

AU - Harriott, P. J.

AU - Kuhn, K. M.

AU - Gregory, D. C.

AU - Sietsema, D. L.

AU - Jones, C. B.

AU - Horne, A. H.

AU - Hayda, R. A.

AU - Born, C. T.

AU - Crisco, M. J.

AU - Stinner, D. J.

AU - Osborn, P. M.

AU - Norton, M.

AU - Wilken, J. M.

AU - Watson, J. T.

AU - Dawson, S. A.

AU - McGarvey, W. C.

AU - Choo, A.

AU - Munz, J. W.

AU - Galpin, M. C.

AU - Miclau, T.

AU - Belaye, T.

AU - Willey, M.

AU - Manson, T.

AU - LeBrun, C. T.

AU - O'Toole, R. V.

AU - Howe, A. L.

AU - Nascone, J. W.

AU - Degani, Y.

AU - Sciadini, M. F.

AU - Hutson, J. J.

AU - Zych, G. M.

AU - Bergin, P. F.

AU - Graves, M. L.

AU - Russell, G. V.

AU - Spitler, C. A.

AU - Hydrick, J.

AU - Ertl, W. J.

AU - Roberts, Z. V.

AU - Tarkin, I. S.

AU - Weiss, D. B.

AU - LesterBallard, V.

AU - Firoozabadi, R.

AU - Agel, J.

AU - Obremskey, W. T.

AU - Rodriguez-Buitrago, A.

AU - Jahangir, A. A.

AU - Sethi, M. K.

AU - Gajari, V.

AU - Burgos, E. J.

AU - Tummuru, R. R.

AU - Archer, K. R.

AU - Carroll, E. A.

AU - Goodman, J. B.

AU - Halvorson, J. J.

AU - Holden, M. B.

AU - Gordon, W. T.

AU - Ceniceros, X.

AU - Waggoner, S. L.

AU - Allen, L. E.

AU - Carlini, A. R.

AU - Castillo, R. C.

AU - Kirk, R.

AU - Quinnan, S.

PY - 2017

Y1 - 2017

N2 - Severe foot and ankle injuries are complex and challenging to treat, often requiring multiple operations to salvage the limb contributing to a prolonged healing period. There is some evidence to suggest that early amputation for some patients may result in better long-term outcomes than limb salvage. The challenge is to identify the regional injury burden for an individual that would suggest a better outcome with an amputation. The OUTLET study is a prospective, multicenter observational study comparing 18-month outcomes after limb salvage versus early amputation among patients aged 18-60 years with severe distal tibia, ankle, and foot injuries. This study aims to build upon the previous work of the Lower Extremity Assessment Project by identifying the injury and patient characteristics that help define a subgroup of salvage patients who will have better outcomes had they undergone a transtibial amputation.

AB - Severe foot and ankle injuries are complex and challenging to treat, often requiring multiple operations to salvage the limb contributing to a prolonged healing period. There is some evidence to suggest that early amputation for some patients may result in better long-term outcomes than limb salvage. The challenge is to identify the regional injury burden for an individual that would suggest a better outcome with an amputation. The OUTLET study is a prospective, multicenter observational study comparing 18-month outcomes after limb salvage versus early amputation among patients aged 18-60 years with severe distal tibia, ankle, and foot injuries. This study aims to build upon the previous work of the Lower Extremity Assessment Project by identifying the injury and patient characteristics that help define a subgroup of salvage patients who will have better outcomes had they undergone a transtibial amputation.

KW - Amputation

KW - Limb salvage

KW - Severe foot and ankle injuries

UR - http://www.scopus.com/inward/record.url?scp=85017307428&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85017307428&partnerID=8YFLogxK

U2 - 10.1097/BOT.0000000000000799

DO - 10.1097/BOT.0000000000000799

M3 - Article

C2 - 28323802

AN - SCOPUS:85017307428

SN - 0890-5339

VL - 31

SP - S48-S55

JO - Journal of orthopaedic trauma

JF - Journal of orthopaedic trauma

ER -

Outcomes after severe distal tibia, ankle, and/or foot trauma: Comparison of limb salvage versus transtibial amputation (OUTLET)

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this