J Korean Foot Ankle Soc.  2014 Mar;18(1):8-13. 10.14193/jkfas.2014.18.1.8.

Amputation in Diabetic Foot Ulcer and Infection

Affiliations
  • 1Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. osmedic@yuhs.ac

Abstract

Amputation of diabetic foot ulcer and infection is a critical modality for saving a patient's life from life threatening infections or ischemic limbs. However, it can cause serious handicaps or complications, such as lifetime shortening and re-amputation of the other limb. The minimal amputation is the main goal of amputation in diabetic patients. However, insufficient amputation can have a harmful effect on patients. The decision of amputation is very difficult and should be made using multidisciplinary approaches. All aspects of the patient's situation, including vascular status, degree of infection, and medical conditions should be considered. The foot surgeon should keep in mind the notion that proper amputation can lead to a new life for diabetic foot patients.

Keyword

Diabetic foot; Ulcer; Infection; Amputation

MeSH Terms

Amputation*
Diabetic Foot*
Extremities
Foot
Humans
Ulcer*

Figure

  • Figure 1. Severe diabetic foot necrosis (A) and infection (B) which necessitate amputation.


Cited by  2 articles

A Report on Diabetic Foot and Amputation from the Korean Health Insurance Review & Assessment Service Data
Jong-Kil Kim, Young-Ran Jung, Kyung-Tae Kim, Chung-Shik Shin, Kwang-Bok Lee
J Korean Foot Ankle Soc. 2017;21(2):66-69.    doi: 10.14193/jkfas.2017.21.2.66.

Usefulness of Percutaneous Transluminal Angioplasty before Operative Treatment in Diabetic Foot Gangrene
Chul Soon Im, Myoung Jin Lee, Jung Mo Kang, Young-Rak Cho, Jeong Hyun Jo, Chan Soo Lee
J Korean Foot Ankle Soc. 2018;22(1):32-37.    doi: 10.14193/jkfas.2018.22.1.32.


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