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Related Experiment Videos

Sequelae of limited amputation.

J T Light1, J C Rice, M D Kerstein

  • 1Department of Surgery, Tulane University School of Medicine, New Orleans, La. 70112.

Surgery
|March 1, 1988
PubMed
Summary
This summary is machine-generated.

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Toe amputation is a valuable limb salvage technique for vascular disease. Successful healing depends on factors like bypass surgery, with no difference observed between diabetic and non-diabetic patients.

Area of Science:

  • Vascular Surgery
  • Podiatric Medicine
  • Limb Salvage Procedures

Background:

  • Vascular disease frequently necessitates lower extremity amputations.
  • Toe amputation is a primary surgical option for managing critical limb ischemia.
  • Assessing the efficacy of toe amputation in limb salvage is crucial.

Purpose of the Study:

  • To evaluate the outcomes of toe amputations in patients with vascular disease.
  • To determine factors influencing the success of toe amputation for limb salvage.
  • To compare outcomes between patients who did and did not undergo bypass surgery.

Main Methods:

  • Retrospective analysis of 90 patients undergoing toe amputations due to vascular disease.
  • Categorization of patients based on need for higher amputation, healing without surgery, or requirement for bypass surgery.

Related Experiment Videos

  • Analysis of limb salvage rates in relation to bypass surgery, diabetes status, and sex.

    • Main Results:

    • 21% of patients required a higher amputation, while 21% healed without further surgery.
    • In patients requiring bypass surgery, 86.7% had successful first amputations.
    • No significant difference in limb salvage was noted between diabetic and non-diabetic patients; men had better outcomes than women.

    Conclusions:

    • Judicious toe amputation is an effective limb salvage tool in vascular disease.
    • Bypass surgery significantly improves the success rate of initial toe amputations.
    • Ankle-to-brachial index below 0.35 was associated with non-healing amputation sites.