Practice Points

• Necrosis does not automatically lead to amputation

• Necrosis can be divided into wet necrosis and dry necrosis

• Wet necrosis in neuropathic feet needs intravenous antibiotics and surgical debridement

• Wet necrosis in neuroischaemic feet needs intravenous antibiotics, surgical debridement and vascular reconstruction

• Dry necrosis in neuroischaemic feet needs vascular reconstruction and amputation or outpatient debridement and autoamputation

• Renal patients are particularly prone to develop necrosis

• When necrosis become wet, smelly, painful or spreading then patients should seek help urgently.

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