Article

We aim to describe the results obtained in major amputations (transtibial and
transfemoral) of diabetic patients followed with a close combined approach
(medical and surgical). We evaluated 37 cases with an average age of 73.55 years.
All were admitted in our Diabetology Department where they were monitored and
treated in order to reach a new balance concerning cardiac failure, anemia, and
other pathologies. Then, the orthopedic surgeons operate choosing an adequate
level for amputation and pointing about adequate stump covering, accurate vessel,
perineural and periosteal hemostasis, and nerve thermoablation. Reading
literature we discovered in our series an improvement concerning perioperative
mortality, considering the high average age and the bad general conditions of our
patients; at the same time, we obtained an improvement about neuromas and ghost
limb syndrome versus literature. About walking capabilities we had similar
results compared to previous papers, obtaining the worst results for thigh
amputations.

Langue : ANGLAIS