+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Simplified two-stage below-knee amputation for unsalvageable diabetic foot infections



Simplified two-stage below-knee amputation for unsalvageable diabetic foot infections



Clinical Orthopaedics and Related Research 1990(261): 251-256



A simplified two-stage below-knee amputation for unsalvageable diabetic foot infections was done on 19 limbs with 84% good results for healing. The first stage was the standard below-knee amputation with a long posterior flap in which the fascia and skin were closed in the central portion with the medial and lateral portions of the wound left open for drainage. The second stage was delayed until closure of the open wounds three to seven days after the first stage. Wagner's classification of diabetic foot lesions was used to stratify these cases. Grades 3 and 4 foot infections had a uniformly good prognosis for healing with this surgical technique. Grade 5 foot infections had a poor prognosis for healing, especially if associated with renal failure and dialysis, even with an initial guillotine amputation.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 041369308

Download citation: RISBibTeXText

PMID: 2245555

DOI: 10.1097/00003086-199012000-00030


Related references

A reliable surgical approach for the two-staged amputation in unsalvageable limb and life threatening acute progressive diabetic foot infections: tibiotalar disarticulation with vertical crural incisions and secondary transtibial amputation. Foot and Ankle Surgery 17(1): 13-18, 2011

Diabetic foot infections in older people with end-stage renal disease: primary amputation versus "foot-sparing surgery". Journal of the American Geriatrics Society 55(3): 476-477, 2007

Can a Silver-Coated Arthrodesis Implant Provide a Viable Alternative to Above Knee Amputation in the Unsalvageable, Infected Total Knee Arthroplasty?. Journal of Arthroplasty 31(11): 2542-2547, 2016

Diabetic foot infections in the elderly: primary amputation versus 'foot-sparing surgery'. A case report. International Wound Journal 4(4): 315-321, 2007

Can aggressive treatment of diabetic foot infections reduce the need for above-ankle amputation?. Clinical Infectious Diseases 23(2): 286-291, 1996

Differences in diabetes control and self-monitoring between diabetic patients who have undergone amputation and those with diabetic foot without amputation. Diabetes & Metabolism 29(Hors serie 2): 4S395, August, 2003

Perioperative laboratory assessment of diabetic foot infections undergoing amputation: a systematic review. Foot and Ankle Specialist 6(6): 465-470, 2014

Two-stage treatment for diabetic foot: surgical peripheral revascularization and minor amputation in day-surgery admission. International Journal of Surgery 6 Suppl 1: S75-S77, 2009

Predictive model of short-term amputation during hospitalization of patients due to acute diabetic foot infections. Enfermedades Infecciosas Y Microbiologia Clinica 28(10): 680-684, 2011

The modified Pirogoff's amputation in treating diabetic foot infections: surgical technique and case series. Diabetic Foot and Ankle 5, 2014

How long to treat with antibiotics following amputation in patients with diabetic foot infections? Are the 2012 IDSA DFI guidelines reasonable?. Journal of Clinical Pharmacy and Therapeutics 38(2): 85-88, 2014

Knee Fusion or Above-The-Knee Amputation after Failed Two-Stage Reimplantation Total Knee Arthroplasty. Archives of Bone and Joint Surgery 3(4): 241-243, 2015

Below-knee amputation: a comparison of the effect of the SACH foot and single axis foot on electromyographic patterns during locomotion. Prosthetics and Orthotics International 10(1): 15-22, 1986

Tool for Rapid & Easy Identification of High Risk Diabetic Foot: Validation & Clinical Pilot of the Simplified 60 Second Diabetic Foot Screening Tool. Plos One 10(6): E0125578, 2016