J Korean Foot Ankle Soc.  2006 Jun;10(1):1-6.

Lower Extremity Amputations for the Diabetic Foot Complication

• Jung HG
• Kim YJ
• Shim SH
• Paik HD

Abstract

PURPOSE: To evaluate the clinical manifestations, the patterns and the functional outcome of the amputations due to the diabetic foot complications.
MATERIALS AND METHODS
Fifty patients (50 feet) of diabetic foot amputations were followed for more than 1 year. The mean age was 62.5 years, and the mean follow-up period was 46 months. Retrospective analysis was performed using chart review and interview with the patients. The outcome was assessed with modified AOFAS scale.
RESULTS
The diabetic foot lesions were infection in 45 feet, gangrene in 35 feet and ulcer in 15 feet. Toe amputation was most commonly performed procedure (23 cases) followed by below knee and ray amputation. Postoperative modified AOFAS score was average 51.5 points, and 94% were satisfied with outcome. Minor amputations showed better outcome than the major amputations.
CONCLUSION
Overall postoperative functional outcome was encouraging with high patient satisfaction rate (94%). Better outcome was obtained with the minor amputations.

Keyword

Diabetic foot; Infection; Minor amputation

MeSH Terms

Amputation*
Diabetic Foot*
Follow-Up Studies
Foot
Gangrene
Humans
Knee
Lower Extremity*
Patient Satisfaction
Retrospective Studies
Toes
Ulcer