Related Experiment Video
Updated: Jul 8, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
Bilateral Below-Knee Amputations in Atherosclerotic Limbs: A Case Report
Sawyer S Longley1, Cory J Dixon1, Aaron P Tillman1
1Department of Research, Alabama College of Osteopathic Medicine, Dothan, USA.
Peripheral artery disease (PAD) can necessitate amputation. This case highlights delayed wound healing after below-knee amputation (BKA) in a diabetic patient, underscoring the need for comprehensive vascular disease management.
Area of Science:
- Vascular Surgery
- Diabetology
- Wound Healing Research
Background:
- Peripheral artery disease (PAD) significantly impairs limb blood flow.
- Type 2 diabetes mellitus exacerbates vascular complications and impairs healing.
- Atherosclerotic limb disease is a common indication for amputation in PAD patients.
Observation:
- A 72-year-old male with PAD and type 2 diabetes underwent below-knee amputation (BKA).
- The patient experienced wound dehiscence and prolonged immobility, requiring a contralateral BKA.
- Despite surgical revisions and wound care, delayed healing persisted.
Findings:
- Atherosclerosis and diabetes create complex challenges for wound healing post-amputation.
- Delayed healing can lead to significant patient morbidity and additional interventions.
- This case illustrates the intricate relationship between systemic vascular disease and local wound recovery.
Implications:
- Tailored management strategies are crucial for patients with PAD and diabetes undergoing amputation.
- Comprehensive patient education is vital for mitigating amputation-related complications.
- Effective care requires addressing the multifaceted nature of vascular diseases and their impact on healing.
More Related Videos
07:25Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
Published on: September 22, 2020
08:16High-Resolution Three-Dimensional Imaging of the Footpad Vasculature in a Murine Hindlimb Gangrene Model
Published on: March 16, 2022
Related Concept Videos
Arteries of Lower Limbs
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Peripheral Artery Disease I: Introduction
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease V: Postoperative Nursing Management