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Diabetic neuropathic foot ulcers and amputation.
- Source :
-
Wound Repair & Regeneration . May/Jun2005, Vol. 13 Issue 3, p230-236. 7p. - Publication Year :
- 2005
-
Abstract
- A neuropathic foot ulcer is a severe complication of diabetes that can result in a more severe complication, a lower extremity amputation. We conducted a cohort study of 24,616 individuals with a diabetic neuropathic foot ulcer treated within a multicenter wound care network. A total of 1653 (6.7%) individuals had an amputation and 46.3% of these amputations were of a toe or ray (minor amputation). In the more than 10-year follow-up period that we studied, the percentage of those who had an amputation varied between 5.6% and 8.4%. Of those who had an amputation, the percentage that had a minor amputation increased over time from 4.0% in the earliest years to more than 60% in the later years of observation. The single most important determinant of amputation was the observation of fascia, tendon, and bone at the initial assessment. In conclusion, about 7% of those with a diabetic neuropathic foot ulcer will have an amputation and in the past 10 years there has been a remarkable increase in the number of minor as compared to major amputations. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10671927
- Volume :
- 13
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Wound Repair & Regeneration
- Publication Type :
- Academic Journal
- Accession number :
- 17186308
- Full Text :
- https://doi.org/10.1111/j.1067-1927.2005.130303.x