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Ritenour et al. [8] reported results of fasciotomy in war causalities and found that patients who underwent delayed fasciotomies (in the regional medical center) had twice the major amputation rate and a threefold higher mortality rate compared with those who underwent fasciotomy in the combat theater.
Nevertheless, the reduced major amputation rate indicates knowledge and awareness of the consensus guidelines on treatment of the diabetic foot.
During the two year follow-up 22 subjects underwent major amputation (major amputation rate during follow-up 3.2%).
In the EURODIALE-Study, conducted at 14 hospitals in 10 European countries, a major amputation rate of 5.1% in 1229 patients was documented [ 15].
In our series, the major amputation rate was 4% at 4 years, and this may have contributed to the low cardiac mortality observed (9, 10, 13, 16).
Another study of 141 patients (115 moderate and 26 severe DFI) reported an overall amputation rate of 43%; however, the major amputation rate was only 3.5% (15).
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"Caring for patients with diabetes is a priority for the NHS and NHS England, and we are pleased to note the suggestion from the latest national diabetes audit that major amputation rates are falling".
In clinical follow-up at discharge as well as 3, 6, 12, 18, 24, and 36 months after revascularization, various parameters were evaluated comparing patency rates, limb salvage, and major amputation rates.
We sought to compare 1-year survival, primary patency, and major amputation rates between open surgical (ABF and AUF) and 2 less invasive reconstruction techniques (CFB and EPS) using a large, multicenter cohort.
With the structured health care program we achieved a significant reduction of major amputation rates by more than 75% as compared to standard care.
As compared to the data reported in the literature with major amputation rates of 8-408-40%e rate of 4.7% of major amputation in our patients treated by the structured health care program documents a significant improvement.
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