Amputation VS Revascularization in a Patient with Diabetic Foot
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Abstract
Diabetic foot complications are a prevalent and serious consequence of diabetes mellitus, often necessitating complex clinical decisions. Among these decisions, the choice between amputation and revascularization in patients with diabetic foot poses a significant clinical dilemma. This article provides a comprehensive review of the epidemiology, significance, definition, risk factors, complications, and management options associated with amputation and revascularization in diabetic foot patients. The discussion evaluates the factors influencing the choice between these two interventions and explores their respective outcomes. Ultimately, this review underscores the importance of a multidisciplinary approach, patient-centered care, and shared decision-making in addressing this challenging clinical scenario.
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References
I. Mandolfino, T., Canciglia, A., Salibra, M., Ricciardello, D., & Cuticone, G. (2016). Functional outcomes of transmetatarsal amputation in the diabetic foot: timing of revascularization, wound healing and ambulatory status. Updates in surgery, 68, 401-405.
II. Lozano-Corona, R., Reyes-Monroy, J. A., Lara-González, V., Anaya-Ayala, J. E., Dardik, A., & Hinojosa, C. A. (2023). Revascularization prevents amputation among patients with diabetic foot during the COVID-19 era. Vascular, 31(4), 729-736.
III. Weledji, E. P., & Fokam, P. (2014). Treatment of the diabetic foot–to amputate or not?. BMC surgery, 14, 1-6.
IV. Elgzyri, T., Larsson, J., Nyberg, P., Thörne, J., Eriksson, K. F., & Apelqvist, J. (2014). Early revascularization after admittance to a diabetic foot center affects the healing probability of ischemic foot ulcer in patients with diabetes. European Journal of Vascular and Endovascular Surgery, 48(4), 440-446.
V. Meloni, M., Morosetti, D., Giurato, L., Stefanini, M., Loreni, G., Doddi, M., ... & Uccioli, L. (2021). Foot revascularization avoids major amputation in persons with diabetes and ischaemic foot ulcers. Journal of clinical medicine, 10(17), 3977.
VI. Kalish, J., & Hamdan, A. (2010). Management of diabetic foot problems. Journal of vascular surgery, 51(2), 476-486.
VII. Kota, S. K., Kota, S. K., Meher, L. K., Sahoo, S., Mohapatra, S., & Modi, K. D. (2013). Surgical revascularization techniques for diabetic foot. Journal of Cardiovascular Disease Research, 4(2), 79-83.
VIII. Caetano, A. P., Conde Vasco, I., Veloso Gomes, F., Costa, N. V., Luz, J. H., Spaepen, E., ... & Bilhim, T. (2020). Successful revascularization has a significant impact on limb salvage rate and wound healing for patients with diabetic foot ulcers: single-centre retrospective analysis with a multidisciplinary approach. CardioVascular and Interventional Radiology, 43, 1449-1459.