Diabetes mellitus with peripheral sensory neuropathy frequently results in forefoot ulceration. Ulceration at the first ray level tends to be recalcitrant to local wound care modalities and off-loading techniques. If healing does occur, ulcer recurrence is common. When infection develops, partial first ray amputation in an effort to preserve maximum foot length is often performed. However, the ...

BACKGROUND Black race has been shown to be a risk factor for amputation in peripheral artery disease (PAD); however, race has been argued to be a marker for socioeconomic status (SES) rather than true disparity. The aim of this study is to study the impact of race and SES on amputation risk in PAD patients. METHODS AND RESULTS Patients with incident PAD in the national Veterans Affairs Corpor...

We describe prosthetic limb prescription in the first year following lower-limb amputation and examine the relationship between amputation level, geographic region, and prosthetic prescription. We analyzed 2005 to 2010 Department of Veterans Affairs (VA) Inpatient and Medical Encounters SAS data sets, Vital Status death data, and National Prosthetic Patient Database data for 9,994 Veterans who ...

conclusions major vascular injuries in our center occurred in young men, frequently because of stab wounds. popliteal injuries mostly caused by motor vehicle accidents was the second most common arterial injury, followed by combined ulnar and radial injuries. vascular reconstruction in the first hours after trauma may prevent many unnecessary and preventable amputation procedures. results most ...

introduction: in the absence of microvascular replantation or in crash injury cases in which obtaining an acceptable function is not possible, amputation of the injured finger seems to be the best treatment modality. some studies recommended leech therapy for this kind of injury after vascular repair to decrease venous congestion. case presentation: in this case report, the authors presented a ...

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objective:  to determine the epidemiological and clinical characteristics of hand and finger amputations in patients referring to a single center in northern iran. methods: this was a cross-sectional study conducted on 200 traumatic hand amputees hospitalized in shohada hospital in tabriz, northwestern iran during a 1-year period in 2014. data were collected through prospective interviews for v...

Background: Foot ulcers (FU) are a significant complication of diabetes mellitus (DM) and a preceding factor leading to lower extremity amputation. The aim of this study was to evaluate the management of diabetic foot ulcer (DFU) in Babol, north of Iran. Methods: Five hundred twenty cases of diabetic foot ulcer that were hospitalized in two main teaching hospitals of Babol University of Medica...

background: lower extremity amputation has different etiologies and the purpose of the study was to describe the demographics and etiologies of amputations. this study was designed to evaluate amputations performed in the province of eastern azerbaijan (north-west of iran) and to       determine specific causes of amputations associated with geographical and cultural characteristics of the regi...