Diabetic Foot Ulcer: Amputation on Request?

Diabetic Foot Ulcer: Amputation on Request?

I n 2000, a Scottish surgeon received significant publicity for amputating lower limbs from healthy patients who were thought to have a Body Integrity Identity Disorder (1). We present a type 1 diabetic patient with a recurrent foot ulcer who requested a lower-limb amputation. Although very different, this situation also created difficult ethical issues that we have attempted to address. Peter ...

Diabetic Foot Ulceration and Amputation

Diabetic Foot Ulcer

It is estimated that approximately 15% of diabetic people world-wide will at some stage develop diabetic foot ulceration. The prevalence of active foot ulceration varies from approx‐ imately 1% in certain European and North American studies to more than 11% in reports from some African countries (table 1). Although there have been many developments in recent years which encourage optimism for f...

Diabetic foot ulcer: A review

Diabetic foot problems are common throughout the world, resulting in major medical, social and economic consequences for the patients, their families, and society. Foot ulcers are more likely to be of neuropathic origin, and therefore eminently preventable. People at greatest risk of ulceration can easily be identified by careful clinical examination of the feet: education and frequent follow-u...

Implementation of diabetic foot ulcer classification system for research purposes to predict lower extremity amputation

BACKGROUND Patients with diabetic foot ulcers are at a high risk of having both minor or major lower extremity amputations. AIM To identify the extent of risk factors for major and minor amputations in patients with diabetic foot ulcers. MATERIALS AND METHODS This prospective study was conducted from 2003 to 2005. Using the guidelines for wound classification developed by the International ...