[Minor amputations in treatment of the diabetic foot].
Major amputation is a radical therapeutic principle which should not be undertaken without angiographic evaluation. Since the goal of limb salvage is to limit the ischemic tissue lost in an acral area, it favours minor "borderline" amputation. Of 597 stage IV patients 362 underwent arterial reconstruction (40% diabetics). Limb salvage was performed in 75% of the patients. Followup after 6 years showed that 33% of the patients were able to walk, and 17% had had a secondary major amputation.
Voss
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EU
Gefässchirurgische Abteilung, Städtisches Klinikum Karlsruhe.
D000671:Amputation, Surgical / Q000379:methods*; D003925:Diabetic Angiopathies / Q000601:surgery*; D005500:Follow-Up Studies; D005528:Foot / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000601:surgery*
Minoramputationen und die Behandlung des diabetischen Fusses.