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Diabetic Limb Salvage

A Team Approach at a Teaching Institution

Chad DeNamur DPM1 and Guy Pupp DPM2
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  • 1 Submitted during second-year residency, Kern Hospital and Medical Center, Warren, MI. Mailing address: 5880 S New Berlin Rd #10, Hales Corners, WI 53130.
  • | 2 Clinical Director and Chief of Staff, Kern Hospital and Medical Center, Warren, MI.
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In this retrospective review, 19 diabetic patients with significant lower-extremity pathology were assessed to determine the success of limb salvage in cases of varying complexity. The patients were either scheduled or at risk for below-the-knee amputation before intervention. After the limb-salvage procedure, patients were followed for 4 months to 9 years. Eighteen patients went on to have successful procedures, avoiding below-the-knee amputation; one patient had an above-the-knee amputation. The results demonstrate the benefits of an aggressive team approach with limb salvage as a goal. (J Am Podiatr Med Assoc 92(8): 457-462, 2002)