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Major amputation was required in two of three patients following early graft failure.
Therefore, we decided to apply an SA bypass in combination with revascularizing the PTA, expecting the perigeniculate artery bypass to reduce the amount of amputation required in a case in which a major amputation was unavoidable.
If major amputation was inevitable even after bypass surgery to the disease-free distal PTA, the bypass graft would be sacrificed and the amputation level would be high, that is, above the knee level because of the following persistent ischemia around the knee area.
The mean age of patients undergoing a major amputation was 72 ± 14 years.
Major amputation was any through or proximal to the ankle and minor distal to the ankle.
Major amputation was identified in 17 (14%) of the 119 patients.
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If the lesion and infection reach to midfoot and hindfoot region, a major amputation is usually required for treatment.
5 A major amputation is a devastating complication of diabetes mellitus.
The risk for major amputation is more than sevenfold that among the nondiabetic population.
Follow-up outcomes for minor and major amputation were determined via published International Classification of Diseases, Ninth Revision /Current Procedural Terminology coding algorithms (online-only Data Supplement Table I).
Predicting variables for major amputation were ulcer dimension, basal A1C, age, percutaneous angioplasty technical failure, basal TcP o2, and ΔTcP o2.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com