Risk factors for ipsilateral reamputation in patients with diabetic foot lesions.
This study aimed to examine the rates and risk factors for ipsilateral re-amputation in 121 patients with diabetic foot and prior amputation. Twenty-six (21.5%) patients required re-amputation during a mean follow-up of 18 months. Most re-amputations were performed within the first 6 months of the initial amputation. Re-amputation was more common among patients in whom the initial amputation had only affected one or two toes. Age (hazard ratio: 1.06) and heel lesions (hazard ratio: 2.69) were significantly associated with re-amputation. There is a high risk of re-amputation in the diabetic foot, especially within the first 6 months of the initial amputation, mainly due to poor selection of the original amputation level in an effort to save a greater part of the lower extremity. Patients 70 years and those with heel lesions are at greatest risk of re-amputation.
Skoutas
D
D
Diabetes Centre, Papageorgiou Hospital, Thessaloniki, Greece.
Papanas
N
N
Georgiadis
G S
GS
Zervas
V
V
Manes
C
C
Maltezos
E
E
Lazarides
M K
MK
D000368:Aged; D000671:Amputation, Surgical / Q000379:methods*; D017719:Diabetic Foot / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014034:Toes / Q000601:surgery*