[Treatment of gangrene of the lower extremities in diabetics]

The authors believe that the main criterion for choice of the method of treatment of diabetic patients with gangrene of lower extremities is the degree of compensation of blood circulation which was estimated by temperature asymmetry of necrosis on the crus. The conclusion is made on the basis of treatment of 62 patients. The amputation at the femur level is indicated in decompensated blood circulation, amputations on the foot associated with intensive pharmacotherapy are indicated in subcompensation. Complex conservative treatment is possible in patients with a starting gangrene.