Management of ischemia of the foot beyond arterial reconstruction.
During a 20 year period, the outcome of 719 amputations in 552 patients demonstrates that, in a majority of patients, conservation of the foot or knee can be achieved. Two hundred and eighty-seven local amputations of the foot performed upon 249 patients resulted in satisfactory healing in 167 of the 237 surviving patients, with a hospital mortality of 4.8 per cent. In 246 patients, 277 below knee amputations were performed with healing in 192 of 220 survivors but with a 10.5 per cent hospital mortality. Midthigh amputations were reserved for those patients with quite extensive gangrene and gross ischemia. In 155 such patients, the hospital mortality was almost 30 per cent.
D000671:Amputation, Surgical; D005528:Foot / Q000098:blood supply* / Q000473:pathology / Q000601:surgery; D005734:Gangrene; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D008684:Metatarsus; D013536:Suture Techniques; D013848:Thigh / Q000473:pathology / Q000601:surgery