Practice Points

• The main causes of amputation are severe uncontrolled pain, or major tissue deficit secondary to ischaemia or infection

• Amputees need heel protection during the perioperative and postoperative periods. Physiotherapists, prosthetists and all members of the rehabilitation team should be aware of the vulnerability of the remaining foot

■ The stump of the diabetic amputated limb is susceptible to trauma, ulceration, infection and ischaemia which demand urgent assessment and management

• The remaining foot should receive intensive multidis-ciplinary care.

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