Abstract
We amputated 35 limbs of 27 patients with diabetic foot from March 1988 to March 1998. The mean age of the patients at the time of operation was 67 years, and the mean follow-up period was 27 months. Thirteen patients died in the period from 1 day to 39 months after the operation. All patients suffering from diabetic foot were referred to our department for surgical procedures after failure of conservative treatment conducted elsewhere. Their feet were classified into grade 2-3 in 18 limbs, grade 4-5 in 11 limbs, and gangrene of the lower leg and entire foot in 2 limbs, as classified by the Wagner system. Two patients had cellulitis of the foot and two other limbs had infectious gonarthritis. All patients had type 2 diabetes with poor blood sugar control, and 90% were treated by insulin. All patients suffered from diabetic neuropathy. Half of the patients were put on hemodialysis because of diabetic nephropathy. More than 60% of the patients suffered from arteriosclerosis obliterans. The amputation level of the limb was determined by skin thermography, but the patient's will was critical. The initial amputation levels were: débridement and synovectomy in 4 limbs, toe and digital ray in 15 limbs, transmetatarsal in 3 limbs, tran...Continue Reading
Citations
Sep 26, 2012·Medical Microbiology and Immunology·Chase WattersKendra P Rumbaugh
Aug 19, 2007·Journal of Digital Imaging·Gerson Linck BichinhoPercy Nohama
Jul 4, 2013·Photomedicine and Laser Surgery·Fernanda Rossi PaolilloVanderlei Salvador Bagnato
Feb 16, 2013·Journal of Avian Medicine and Surgery·Jennifer L Hurley-SandersMichael K Stoskopf
Apr 2, 2014·Computational and Mathematical Methods in Medicine·H Peregrina-BarretoR Morales-Caporal
Jul 24, 2014·Journal of Pathogens·Urvish TrivediKendra P Rumbaugh
Mar 11, 2005·Archives of Physical Medicine and Rehabilitation·Timothy R DillinghamAndrew D Shore
Jan 7, 2004·Diabetes & Metabolism·G DangelserJ F Blicklé
Nov 14, 2006·Foot and Ankle Clinics·Terrence M PhilbinThomas H Lee
Jun 3, 2008·Pain Practice : the Official Journal of World Institute of Pain·R Norman HardenDevon Newman
Jun 28, 2005·Clinics in Podiatric Medicine and Surgery·Keith D Cook
Jun 28, 2005·Clinics in Podiatric Medicine and Surgery·George F Wallace, John J Stapleton
Oct 13, 2016·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Lampros LiasisKonstantinos Filis
May 16, 2009·The International Journal of Lower Extremity Wounds·D SkoutasM K Lazarides
Aug 5, 2016·Journal of the American Podiatric Medical Association·Luis M Gordillo-FernándezÁlvaro Fernández-Garzón
Mar 23, 2011·Angiology·Mohammed Mohsin UzzamanSyed Tahir Hussain
Jul 6, 2011·Journal of Wound Care·H SvenssonM Eneroth
Oct 5, 2018·Plastic and Reconstructive Surgery·Young Chul SuhJoon Pio Jp Hong
Mar 13, 2020·Diabetes Care·Alyson J LittmanEdward J Boyko
Jul 19, 2019·Journal of Diabetes Science and Technology·Brian M SchmidtJames S Wrobel
Oct 1, 2020·World Journal of Diabetes·Ayeshmanthe RathnayakeHenrik Falhammar
Feb 19, 2021·Journal of Foot and Ankle Research·Shinsuke ImaokaToshio Higashi
Jan 18, 2018·Journal of the American Podiatric Medical Association·Jonathan D. LeSarJill S. Kawalec