Abstract
Chronic leg ulcers are defined as those that show no tendency to heal after 3 months of appropriate treatment or are still not fully healed at 12 months [1]. Various treatment modalities have been suggested for the management of nonhealing ulcers. The amputation is done as a last resort, when all other methods of treatment have exhausted or when it is felt that amputated limb will provide a better functional result as compared to limb with persistent chronic nonhealing ulcers. The amputation rate in diabetics can be reduced with good care of the foot. The last decade saw a marked decline in the lower extremity amputation in the Medicare population in the USA [2].
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References
Kahle B, Hermanns HJ, Gallenkemper G. Evidence-based treatment of chronic Leg ulcers. Dtsch Arztebl Int. 2011;108:231–7.
Belatti DA, Phisitkul P. Declines in lower extremity amputation in the US Medicare population 2000–2010. Foot Ankle Int. 2013;34:923–31.
Izumi Y, Satterfield K, Lee S, Harkless LB. Risk of reamputation in diabetic patients stratified by limb and level of amputation: a 10-year observation. Diabetes Care. 2006;29:566–70.
Yusmido YA, Hisamud-Din N, Mazlan M. Elective proximal lower limb amputation in spinal cord injury patients with chronic pressure ulcers. Eur J Phys Rehabil Med. 2014;50(5):557–60.
Moses SE, Klein BE. The prevalence and incidence of lower extremity amputation in a diabetic population. Arch Intern Med. 1992;152:610–6.
Wagner Jr FW. A classification and treatment program for diabetic, neuropathic and dysvascular foot problems. Instr Course Lect. 1979;28:143.
Edo AE, Edo GO, Ezeani IU. Risk factors, ulcer grade and management outcome of diabetic foot ulcers in a tropical tertiary care hospital. Niger Med J. 2013;54:59–63.
Boffeli TJ, Thompson JC. Partial foot amputations for salvage of the diabetic lower extremity. Clin Podiatr Med Surg. 2014;31:103–26.
Monteiro-Soares M, Martins-Mendes D, Vaz-Carneiro A, Sampaio S, Dinis-Ribeiro M. Classification systems for lower extremity amputation prediction in subjects with active diabetic foot ulcer: a systematic review and meta-analysis. Diabetes Metab Res Rev. 2014;30(7):610–22. doi:10.1002/dmrr.2535.
Roach JJ, Mcfarlane DS. Midfoot amputations: applications of pioneer procedures in a new age. Contemp Orthop. 1989;18:557.
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Saraf, S.K. (2016). Amputation of the Lower Extremity. In: Khanna, A., Tiwary, S. (eds) Ulcers of the Lower Extremity. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2635-2_27
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DOI: https://doi.org/10.1007/978-81-322-2635-2_27
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