{"id":"https://openalex.org/W2102593425","doi":"https://doi.org/10.7547/1020273","title":"Successful Limb-sparing Treatment Strategy for Diabetic Foot Osteomyelitis","display_name":"Successful Limb-sparing Treatment Strategy for Diabetic Foot Osteomyelitis","publication_year":2012,"publication_date":"2012-07-01","ids":{"openalex":"https://openalex.org/W2102593425","doi":"https://doi.org/10.7547/1020273","mag":"2102593425","pmid":"https://pubmed.ncbi.nlm.nih.gov/22826325"},"language":"en","primary_location":{"id":"doi:10.7547/1020273","doi":"https://doi.org/10.7547/1020273","is_oa":false,"landing_page_url":"https://doi.org/10.7547/1020273","pdf_url":null,"source":{"id":"https://openalex.org/S1042507638","display_name":"Journal of the American Podiatric Medical Association","issn_l":"1930-8264","issn":["1930-8264","8750-7315"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315804","host_organization_name":"American Podiatric Medical Association","host_organization_lineage":["https://openalex.org/P4310315804"],"host_organization_lineage_names":["American Podiatric Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Podiatric Medical Association","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5038960021","display_name":"Alison M Beieler","orcid":"https://orcid.org/0000-0002-9411-699X","observed_orcids":["https://orcid.org/0000-0002-9411-699X"]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alison M. Beieler","raw_affiliation_strings":["Department of Medicine and Division of Infectious Diseases, Denver Health Medical Center, Denver, CO","Department of Medicine, Division of Infectious Diseases, Denver Health Medical Center, CO, USA. alisonbeieler@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine and Division of Infectious Diseases, Denver Health Medical Center, Denver, CO","institution_ids":["https://openalex.org/I2801983979"]},{"raw_affiliation_string":"Department of Medicine, Division of Infectious Diseases, Denver Health Medical Center, CO, USA. alisonbeieler@gmail.com","institution_ids":["https://openalex.org/I2801983979"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088165121","display_name":"Timothy C Jenkins","orcid":"https://orcid.org/0000-0002-1029-7085","observed_orcids":["https://orcid.org/0000-0002-1029-7085"]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Timothy C. Jenkins","raw_affiliation_strings":["Department of Medicine and Division of Infectious Diseases, Denver Health Medical Center, Denver, CO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine and Division of Infectious Diseases, Denver Health Medical Center, Denver, CO","institution_ids":["https://openalex.org/I2801983979"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077588689","display_name":"Connie Savor Price","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Connie S. Price","raw_affiliation_strings":["Department of Medicine and Division of Infectious Diseases, Denver Health Medical Center, Denver, CO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine and Division of Infectious Diseases, Denver Health Medical Center, Denver, CO","institution_ids":["https://openalex.org/I2801983979"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087088964","display_name":"Carla C. Saveli","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1288162130","display_name":"University of Colorado Hospital","ror":"https://ror.org/006jjmw19","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288162130","https://openalex.org/I4210087413"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Carla C. Saveli","raw_affiliation_strings":["Department of Medicine and Division of Infectious Diseases, University of Colorado Hospital, Aurora, CO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine and Division of Infectious Diseases, University of Colorado Hospital, Aurora, CO","institution_ids":["https://openalex.org/I1288162130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050466859","display_name":"Merribeth Bruntz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Merribeth Bruntz","raw_affiliation_strings":["Department of Orthopaedic Surgery, Denver Health Medical Center, Denver, CO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Denver Health Medical Center, Denver, CO","institution_ids":["https://openalex.org/I2801983979"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089947524","display_name":"Robert Belknap","orcid":"https://orcid.org/0000-0002-7382-8592","observed_orcids":["https://orcid.org/0000-0002-7382-8592"]},"institutions":[{"id":"https://openalex.org/I2801983979","display_name":"Denver Health Medical Center","ror":"https://ror.org/01fbz6h17","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801983979"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert W. Belknap","raw_affiliation_strings":["Department of Medicine and Division of Infectious Diseases, Denver Health Medical Center, Denver, CO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine and Division of Infectious Diseases, Denver Health Medical Center, Denver, CO","institution_ids":["https://openalex.org/I2801983979"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.7696,"has_fulltext":false,"cited_by_count":18,"citation_normalized_percentile":{"value":0.76319852,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"102","issue":"4","first_page":"273","last_page":"277"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11227","display_name":"Diabetic Foot Ulcer Assessment and Management","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11227","display_name":"Diabetic Foot Ulcer Assessment and Management","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11293","display_name":"Orthopedic Infections and Treatments","score":0.007799999788403511,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11153","display_name":"Streptococcal Infections and Treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetic-foot-osteomyelitis","display_name":"diabetic foot osteomyelitis","score":0.996999979019165},{"id":"https://openalex.org/keywords/limb-salvage","display_name":"limb salvage","score":0.9079999923706055},{"id":"https://openalex.org/keywords/surgical-debridement","display_name":"surgical debridement","score":0.972000002861023},{"id":"https://openalex.org/keywords/antimicrobial-therapy","display_name":"antimicrobial therapy","score":0.9129999876022339},{"id":"https://openalex.org/keywords/staphylococcus-aureus","display_name":"Staphylococcus aureus","score":0.8640000224113464},{"id":"https://openalex.org/keywords/coinfection","display_name":"co-infection","score":0.9079999923706055},{"id":"https://openalex.org/keywords/transtibial-amputation","display_name":"transtibial amputation","score":0.8899999856948853},{"id":"https://openalex.org/keywords/treatment-failure","display_name":"treatment failure","score":0.5080000162124634},{"id":"https://openalex.org/keywords/cure","display_name":"cure","score":0.6769999861717224}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9767038822174072},{"id":"https://openalex.org/C2780551157","wikidata":"https://www.wikidata.org/wiki/Q938983","display_name":"Osteomyelitis","level":2,"score":0.8795220851898193},{"id":"https://openalex.org/C2776204877","wikidata":"https://www.wikidata.org/wiki/Q477415","display_name":"Amputation","level":2,"score":0.8626630306243896},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.784112811088562},{"id":"https://openalex.org/C2777438270","wikidata":"https://www.wikidata.org/wiki/Q5248564","display_name":"Debridement (dental)","level":2,"score":0.6293535828590393},{"id":"https://openalex.org/C2777858829","wikidata":"https://www.wikidata.org/wiki/Q52856","display_name":"Diabetic foot","level":3,"score":0.6100925803184509},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5498849153518677},{"id":"https://openalex.org/C119060515","wikidata":"https://www.wikidata.org/wiki/Q1916617","display_name":"Interquartile range","level":2,"score":0.48454514145851135},{"id":"https://openalex.org/C2778144972","wikidata":"https://www.wikidata.org/wiki/Q52859","display_name":"Diabetic foot ulcer","level":4,"score":0.4102141857147217},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.20161020755767822},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000671","descriptor_name":"Amputation, Surgical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000890","descriptor_name":"Anti-Infective Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D003131","descriptor_name":"Combined Modality Therapy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003646","descriptor_name":"Debridement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010019","descriptor_name":"Osteomyelitis","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D010019","descriptor_name":"Osteomyelitis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017719","descriptor_name":"Diabetic Foot","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D017719","descriptor_name":"Diabetic Foot","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D023821","descriptor_name":"Limb Salvage","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.7547/1020273","doi":"https://doi.org/10.7547/1020273","is_oa":false,"landing_page_url":"https://doi.org/10.7547/1020273","pdf_url":null,"source":{"id":"https://openalex.org/S1042507638","display_name":"Journal of the American Podiatric Medical Association","issn_l":"1930-8264","issn":["1930-8264","8750-7315"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315804","host_organization_name":"American Podiatric Medical Association","host_organization_lineage":["https://openalex.org/P4310315804"],"host_organization_lineage_names":["American Podiatric Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Podiatric Medical Association","raw_type":"journal-article"},{"id":"pmid:22826325","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22826325","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Podiatric Medical Association","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W1980225171","https://openalex.org/W1988551848","https://openalex.org/W2026039299","https://openalex.org/W2032178301","https://openalex.org/W2035812780","https://openalex.org/W2036889308","https://openalex.org/W2037316377","https://openalex.org/W2068094559","https://openalex.org/W2070631443","https://openalex.org/W2084025044","https://openalex.org/W2100482235","https://openalex.org/W2112326179","https://openalex.org/W2114757021","https://openalex.org/W2116457144","https://openalex.org/W2141600376","https://openalex.org/W6647497882"],"related_works":["https://openalex.org/W1988551848","https://openalex.org/W2043244551","https://openalex.org/W2518642286","https://openalex.org/W4309621723","https://openalex.org/W4404759305","https://openalex.org/W2045632915","https://openalex.org/W4409931493","https://openalex.org/W4403184431","https://openalex.org/W1883562190","https://openalex.org/W2026176608"],"abstract_inverted_index":{"BACKGROUND:":[0],"Diabetic":[1],"foot":[2,98,244],"osteomyelitis":[3,69,99,155,179],"is":[4,18,254],"common":[5,135],"and":[6,52,114,129,260],"causes":[7],"substantial":[8],"morbidity,":[9],"including":[10],"major":[11],"amputations,":[12],"yet":[13],"the":[14,71,101,133,157],"optimal":[15],"treatment":[16,67],"approach":[17,23],"unclear.":[19],"We":[20,39],"evaluated":[21],"an":[22],"to":[24],"limb":[25,79,261],"salvage":[26,224],"that":[27],"combines":[28],"early":[29],"surgical":[30,105,158,246],"debridement":[31,115,247],"or":[32,88,248],"limited":[33,249],"amputation":[34,87,109,117,250],"with":[35,96,220,231,242],"antimicrobial":[36,252],"therapy.":[37],"METHODS:":[38],"conducted":[40],"a":[41,85,89,163,183,199],"retrospective":[42],"cohort":[43],"study":[44,102],"of":[45,70,154,165,177,185,202,209],"patients":[46,95,112,147,193,211,229,234,241],"treated":[47,218],"between":[48],"May":[49,53],"1,":[50],"2005,":[51],"31,":[54],"2007.":[55],"The":[56,74],"primary":[57],"end":[58,76],"point":[59,77],"was":[60,78,132,225],"cure,":[61],"defined":[62,81],"as":[63,82],"not":[64,83],"requiring":[65,84,236],"further":[66],"for":[68,162,182],"affected":[72],"limb.":[73],"secondary":[75],"salvage,":[80],"below-the-knee":[86,237],"more":[90],"proximal":[91],"amputation.":[92,238],"RESULTS:":[93],"Fifty":[94],"diabetic":[97,243],"met":[100],"criteria.":[103],"Initial":[104],"management":[106],"included":[107],"local":[108],"in":[110,118,145,227],"43":[111,166],"(86%)":[113],"without":[116,175],"seven":[119],"(14%).":[120],"Most":[121],"infections":[122],"(n":[123,137],"=":[124,138],"30;":[125],"60%)":[126],"were":[127,143,195,217],"polymicrobial,":[128],"Staphylococcus":[130],"aureus":[131],"most":[134],"pathogen":[136],"23;":[139],"46%).":[140],"Parenteral":[141],"antibiotics":[142],"used":[144],"45":[146],"(90%).":[148],"Patients":[149],"who":[150,213],"had":[151],"pathologic":[152],"evidence":[153,176],"at":[156,256],"margin":[159],"received":[160,180],"therapy":[161,181,216,253],"median":[164,184,200],"days":[167,187],"(interquartile":[168],"range":[169],"[IQR],":[170],"36-56":[171],"days),":[172],"whereas":[173],"those":[174],"residual":[178],"19":[186],"(IQR,":[188,205],"13-40":[189],"days).":[190],"Overall,":[191],"32":[192],"(64%)":[194],"considered":[196],"cured":[197],"after":[198],"follow-up":[201],"26":[203],"months":[204],"12-38":[206],"months).":[207],"Fifteen":[208],"18":[210],"(83%)":[212],"failed":[214],"initial":[215],"again":[219],"limb-sparing":[221],"surgery.":[222],"Limb":[223],"achieved":[226],"47":[228],"(94%),":[230],"only":[232],"three":[233],"(6%)":[235],"CONCLUSIONS:":[239],"In":[240],"osteomyelitis,":[245],"plus":[251],"effective":[255],"achieving":[257],"clinical":[258],"cure":[259],"salvage.":[262]},"counts_by_year":[{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":2},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2017,"cited_by_count":2},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
