Multiple limb salvage attempts for diabetic foot infections: is it worth it?

The Bone & Joint Journal
C C HongAziz Nather

Abstract

Limb salvage for diabetic foot infections often require multiple procedures. Some patients will eventually end up with below knee amputation (BKA) when all limb salvage attempts fail. We seek to study the patients' ability to return to normal life, functional status, prosthesis usage and perspectives on multiple limb salvage procedures that culminated in BKA to review if they would undertake a similar path if their situation was repeated. A total of 41 patients who underwent BKA between July 2011 and June 2013 were reviewed. They were divided into primary and creeping (prior multiple salvage procedures) amputations. The Barthel's Index (BI) and the Reintegration to Normal Living Index (RNLI) were used. A questionnaire was used to identify whether the patient would undergo the same multiple attempts at limb salvage again if faced with the same problem. All patients had a good mean BI of 14.2 (3 to 20) and RNLI of 73.2 (31 to 100). There was no difference in prosthesis usage, BI and RNLI between both groups. We found that 16 (94.1%) out of 17 patients with creeping amputation would undergo the same multiple salvage procedures if given a similar option. Conversely, only 15 (62.5%) patients with primary amputation would do the same...Continue Reading

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Citations

May 17, 2019·The Journal of Bone and Joint Surgery. American Volume·Timothy R DanielsJacob Matz
Nov 2, 2019·The Bone & Joint Journal·Sally KerrFares S Haddad
Aug 17, 2020·Disability and Rehabilitation·Crystal MacKaySander L Hitzig
Jul 19, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Chetan OswalMatthew Welck
Jun 27, 2021·Prosthetics and Orthotics International·Evan RobertsCrystal MacKay

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