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approximately 15% in matched control groups of non-diabetic patients. 1 , 3 – 5 A recent large-scale study showed that diabetes mellitus (DM) had the highest odds for amputation after ankle fracture fixation, compared to any other risk factors, 6
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amputation levels. 17 , 27 , 28 However, a significant variability in foot and limb salvage has been observed in clinical practice. Although all these techniques provide useful information in the assessment of tissue and foot perfusion there is no widely
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national survey . Bone Joint J 2015 ; 97-B : 1284 - 1290 . 35 Aksnes LH , Bauer HC , Jebsen NL , et al. . Limb-sparing surgery preserves more function than amputation: a Scandinavian sarcoma group study of 118 patients
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amputation rates of DFUs. 5 Meticulous glycaemic control is the primary and only proven method to reduce or prevent all diabetes-related complications. 6 Home monitoring of daily foot temperatures has been proposed as an effective method for
University of Brighton, UK
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Brighton and Sussex Medical Schools, UK
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26. Baillie C Rahman S Youssief A Khaleel A Bargery C . Multidisciplinary approach to the management of diabetic foot complications: impact on hospital admissions, limb salvage and amputation rates
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overall soft tissue condition and the neurovascular status of the injured limb ( Fig. 1 ). Fig. 1 Fracture-dislocation with impeding skin necrosis produced by a prominent medial fragment of the distal tibia. Immediate reduction is warranted
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component arthroplasty, 15.2% arthrodesis and 3.6% required amputation. Sub-classification of the studies into inventor and non-inventor groups yielded revision rates of 6.6% and 12.2% respectively. Of the 14 studies included, 12 were level IV or level V
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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oedema of lower limbs Arterial insufficiency (nervous ischemia) Diabetes mellitus Clinical presentation Patients with TTS complain of pain in the medial aspect of the ankle, with irradiation to the plantar aspect of the foot
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(%) All infections (%) Implant failure Malunion or non-union Amputation (%) Periprosthetic fracture (%) Unplanned secondary surgery (%) Other post-operative complications Al-Nammari et al. (23) 2 (4.2) 1 (2.1 3 3 (6.3) 2
