Amputation and ambulation in diabetic patients: Function is the goal

摘要: The role of amputation in limb salvage is often poorly defined because the surgeon and patient attempt to save all limbs at costs. difficulty lies selecting versus early amputation. For sedentary patient, a functional salvaged can provide him/her with higher quality life than he/she would have an active major may offer best outcome. Our experience diabetic over last 20 years was retrospectively reviewed compared existing literature better understand patients diabetes. In process, surgical techniques that we believe optimize foot leg amputations were reviewed. Utilizing team approach, yield 64% ambulation rate 80% 2-year survival rate. Below-knee led similar ambulatory rate, but these 52%. With more severe rear-foot ulcers osteomyelitis, declined each comorbidity. However, those whose saved had chance walking who underwent Function are outcomes interest be maximized through either or job as physicians match correct solution patients' lifestyle their medical, physical psychological conditions so they achieve desired level activity quickly possible.