Should Chopart Amputation be Performed in Diabetic Foot Ulcer Patients?

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 ...

Predictors of lower-extremity amputation in patients with an infected diabetic foot ulcer.

OBJECTIVE Infection commonly complicates diabetic foot ulcers and is associated with a poor outcome. In a cohort of individuals with an infected diabetic foot ulcer, we aimed to determine independent predictors of lower-extremity amputation and the predictive value for amputation of the International Working Group on the Diabetic Foot (IWGDF) classification system and to develop a risk score fo...

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...

Clinical outcomes of ray amputation in diabetic foot patients.

Dear Editor, Diabetes mellitus is a growing problem in Singapore, with a reported incidence of 11.3% of the Singapore population, a signifi cant increase from 8.2% in 2004.1 With the implementation of a multidisciplinary approach combined with a clinical pathway, our major amputation rate (belowand above-knee amputation) has been reduced from 31.15% in 2002 to 11.01% in 2007.2 Nather et al in 2...