Local signs and symptoms in relation to final amputation level in diabetic patients. A prospective study of 187 patients with foot ulcers
(1994) In Acta Orthopaedica Scandinavica 65(4). p.387-393- Abstract
- Local signs and symptoms were evaluated in 187 consecutively presenting diabetic patients undergoing amputation for foot ulcers. From admission until final outcome the patients were treated by the same multidisciplinary team both as in- and out-patients. At the time of amputation, the types of lesions were superficial/deep ulcer (n 17), ulcer with deep infection, but without gangrene (n 40), and gangrene with or without infection (n 130). Healing after a minor amputation (below the ankle) occurred in 74 patients, while 88 patients healed after a major amputation (above the ankle), and 25 patients died before healing had occurred. Deep infection and presence of popliteal or pedal pulses were associated with healing after minor amputation... (More)
- Local signs and symptoms were evaluated in 187 consecutively presenting diabetic patients undergoing amputation for foot ulcers. From admission until final outcome the patients were treated by the same multidisciplinary team both as in- and out-patients. At the time of amputation, the types of lesions were superficial/deep ulcer (n 17), ulcer with deep infection, but without gangrene (n 40), and gangrene with or without infection (n 130). Healing after a minor amputation (below the ankle) occurred in 74 patients, while 88 patients healed after a major amputation (above the ankle), and 25 patients died before healing had occurred. Deep infection and presence of popliteal or pedal pulses were associated with healing after minor amputation and so were ulcers on the small toes, metatarsal head area and midfoot. Pain, progressive gangrene, intermittent claudication, and decubital and multiple ulcers were related to healing after major amputation. In a logistic regression analysis, pain, progressive gangrene and intermittent claudication remained. However, none of these factors excluded healing of a minor amputation and thus selection of amputation level in diabetic patients with foot ulcers cannot be based upon these factors exclusively. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1108028
- author
- Larsson, Jan ; Agardh, Carl-David LU ; Apelqvist, Jan LU and Stenström, Anders LU
- organization
- publishing date
- 1994
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Acta Orthopaedica Scandinavica
- volume
- 65
- issue
- 4
- pages
- 387 - 393
- publisher
- Taylor & Francis
- external identifiers
-
- pmid:7976281
- scopus:0028130719
- ISSN
- 0001-6470
- DOI
- 10.3109/17453679408995476
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Department of Orthopaedics (Lund) (013028000), Unit on Vascular Diabetic Complications (013241510), Diabetes and Endocrinology (013241530)
- id
- af92c0c1-e855-4f3d-962c-552a1ce5db38 (old id 1108028)
- date added to LUP
- 2016-04-01 15:21:34
- date last changed
- 2021-01-03 03:00:41
@article{af92c0c1-e855-4f3d-962c-552a1ce5db38,
abstract = {{Local signs and symptoms were evaluated in 187 consecutively presenting diabetic patients undergoing amputation for foot ulcers. From admission until final outcome the patients were treated by the same multidisciplinary team both as in- and out-patients. At the time of amputation, the types of lesions were superficial/deep ulcer (n 17), ulcer with deep infection, but without gangrene (n 40), and gangrene with or without infection (n 130). Healing after a minor amputation (below the ankle) occurred in 74 patients, while 88 patients healed after a major amputation (above the ankle), and 25 patients died before healing had occurred. Deep infection and presence of popliteal or pedal pulses were associated with healing after minor amputation and so were ulcers on the small toes, metatarsal head area and midfoot. Pain, progressive gangrene, intermittent claudication, and decubital and multiple ulcers were related to healing after major amputation. In a logistic regression analysis, pain, progressive gangrene and intermittent claudication remained. However, none of these factors excluded healing of a minor amputation and thus selection of amputation level in diabetic patients with foot ulcers cannot be based upon these factors exclusively.}},
author = {{Larsson, Jan and Agardh, Carl-David and Apelqvist, Jan and Stenström, Anders}},
issn = {{0001-6470}},
language = {{eng}},
number = {{4}},
pages = {{387--393}},
publisher = {{Taylor & Francis}},
series = {{Acta Orthopaedica Scandinavica}},
title = {{Local signs and symptoms in relation to final amputation level in diabetic patients. A prospective study of 187 patients with foot ulcers}},
url = {{http://dx.doi.org/10.3109/17453679408995476}},
doi = {{10.3109/17453679408995476}},
volume = {{65}},
year = {{1994}},
}