Hallux amputation for diabetic osteomyelitis.
Digital amputation for infection in the diabetic patient requires accurate assessment of wound healing potential as a function of clinical and noninvasive studies of cutaneous blood flow. The diabetic propensity for staphylococcal infection, microangiopathy, and delayed wound healing may be questionable in light of recent literature. X-rays, xeroradiographs, and bone scans are useful guides to osseous infection involvement. Amputation technical planning is mandatory. Proper assessment results in a dynamic functional amputation stump with little impact on gait.
D000328:Adult; D000671:Amputation, Surgical; D003354:Corynebacterium Infections / Q000150:complications; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D006214:Hallux / Q000601:surgery*; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000209:etiology / Q000601:surgery*; D012039:Regional Blood Flow; D012867:Skin / Q000098:blood supply; D013203:Staphylococcal Infections / Q000150:complications; D014945:Wound Healing