Presentation And Management

Major amputation is sometimes inevitable, particularly in neuroischaemic patients. Rehabilitation of the diabetic amputee is extremely difficult and is characterized by long stays in hospital. Major amputation therefore must not be taken lightly.

Morbidity and mortality associated with major amputation in diabetes are very high. Without optimal care, within 3 years half of diabetic major amputees will be dead and of the survivors, half will have lost their remaining leg. Survival of above-knee amputees is significantly less than below-knee amputees, and relative mortality is higher for females than for males.

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