Diabetic Limb Salvage: Too Much of a Good Thing?

被引:0
作者
Leon, Luis R., Jr. [1 ,2 ]
Pacanowski, John [2 ]
Ranellone, Erika [2 ]
Armstrong, David [2 ]
机构
[1] Univ Arizona, Coll Med, Hlth Sci Ctr, Dept Surg,SALSA, Tucson, AZ 85724 USA
[2] TMC, Vasc Surg Sect, Tucson, AZ USA
关键词
limb salvage; diabetic foot infection; peripheral arterial disease; AMPUTATION; ISCHEMIA;
D O I
10.1177/1538574410375127
中图分类号
R61 [外科手术学];
学科分类号
摘要
Diabetic foot complications exact a significant toll on patients specifically and the health care system in general. Most data suggest that limb preservation generally results in a higher quality (and quantity) of life for the patient and lower overall direct and indirect costs. However, when focusing on a specific patient, significant questions remain. The most significant being: how much effort is too much? The purpose of this manuscript is to present a case that explores this issue.
引用
收藏
页码:661 / 667
页数:7
相关论文
共 7 条
  • [1] Armstrong David G, 2007, Int Wound J, V4, P286
  • [2] Diabetes and landmine-related amputations: a call to arms to save limbs
    Bharara, M.
    Mills, J. L.
    Suresh, K.
    Rilo, H. L.
    Armstrong, D. G.
    [J]. INTERNATIONAL WOUND JOURNAL, 2009, 6 (01) : 2 - 3
  • [3] Surgical or endovascular revascularization in patients with critical limb ischemia: Influence or diabetes mellitus on clinical outcome
    Dick, Florian
    Diehm, Nicolas
    Galimanis, Aekaterini
    Husmann, Marc
    Schmidli, Juerg
    Baumgartner, Iris
    [J]. JOURNAL OF VASCULAR SURGERY, 2007, 45 (04) : 751 - 761
  • [4] Early and five-year amputation and survival rate of diabetic patients with critical limb ischemia: Data of a cohort study of 564 patients
    Faglia, E.
    Clerici, G.
    Clerissi, J.
    Gabrielli, L.
    Losa, S.
    Mantero, M.
    Caminiti, M.
    Curci, V.
    Lupattelli, T.
    Morabito, A.
    [J]. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2006, 32 (05) : 484 - 490
  • [5] Greive AC, 1996, PROSTHET ORTHOT INT, V20, P79
  • [6] Consequences of non-vascular trans-femoral amputation:: a survey of quality of life, prosthetic use and problems
    Hagberg, K
    Brånemark, R
    [J]. PROSTHETICS AND ORTHOTICS INTERNATIONAL, 2001, 25 (03) : 186 - 194
  • [7] Major lower extremity amputation after multiple revascularizations: Was it worth it?
    Reed, Amy B.
    Delvecchio, Cindy
    Giglia, Joseph S.
    [J]. ANNALS OF VASCULAR SURGERY, 2008, 22 (03) : 335 - 340