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Shaikh N, Vaughan P, Varty K, Coll AP, Robinson AH, et al.
The bone & joint journal. Date of publication 2013 Aug 1;volume 95-B(8):1083-7.
1. Bone Joint J. 2013 Aug;95-B(8):1083-7. doi: 10.1302/0301-620X.95B8.31280. Outcome of limited forefoot amputation with primary closure in patients with diabetes. Shaikh N(1), Vaughan P, Varty K, Coll AP, Robinson AH. Author information: (1)Addenbrooke's Hospital, Orthopaedic Department, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. Limited forefoot amputation in diabetic patients with osteomyelitis is frequently required. We retrospectively reviewed diabetic patients with osteomyelitis, an unhealed ulcer and blood pressure in the toe of > 45 mmHg who underwent limited amputation of the foot with primary wound closure. Between 2006 and 2012, 74 consecutive patients with a mean age of 67 years (29 to 93), and a median follow-up of 31 months, were included. All the wounds healed primarily at a median of 37 days (13 to 210; mean 48). At a median of 6 months (1.5 to 18; mean 353 days), 23 patients (31%) suffered a further ulceration. Of these, 12 patients (16% of the total) required a further amputation. We conclude that primary wound closure following limited amputation of the foot in patients with diabetes is a safe and effective technique when associated with appropriate antibiotic treatment. DOI: 10.1302/0301-620X.95B8.31280 PMID: 23908424 [Indexed for MEDLINE]
Appears in following Topics:
Diabetic Foot Ulcer - Treatment
Diabetic Foot Ulcer Associated with Infection - Management