Amputation in Diabetic Foot Ulcer and Infection

Seung Hwan Han; Young Chang Park

doi:10.14193/jkfas.2014.18.1.8

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Han and Park: Amputation in Diabetic Foot Ulcer and Infection

Review Article

J Korean Foot Ankle Soc 2014;18(1):8-13.

Published online: 10 March 2014

DOI: https://doi.org/10.14193/jkfas.2014.18.1.8

Amputation in Diabetic Foot Ulcer and Infection

Seung Hwan Han, Young Chang Park

Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea

Corresponding Author: Seung Hwan Han Department of Orthopaedic Surgery, Gangnam Severance Hospital, 211 Eonjuro, Gangnam-gu, Seoul 135-720, Korea Tel: 82-2-2019-3410, Fax: 82-2-573-5393, E-mail: osmedic@yuhs.ac

Received 22 January 2014 Revised 2 February 2014 Accepted 3 February 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Amputation of diabetic foot ulcer and infection is a critical modality for saving a patient's life from life threatening infections or ischemic limbs. However, it can cause serious handicaps or complications, such as lifetime shortening and re-amputation of the other limb. The minimal amputation is the main goal of amputation in diabetic patients. However, insufficient amputation can have a harmful effect on patients. The decision of amputation is very difficult and should be made using multidisciplinary approaches. All aspects of the patient's situation, including vascular status, degree of infection, and medical conditions should be considered. The foot surgeon should keep in mind the notion that proper amputation can lead to a new life for diabetic foot patients.

Keywords: Diabetic foot, Ulcer, Infection, Amputation

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Figure 1.

Severe diabetic foot necrosis (A) and infection (B) which necessitate amputation.

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