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Treatment of Multidisciplinary Approach of Critical Ischemic Limb with Diabetic Foot  

Choi, Hyun-Hee (Department of Cardiology, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine)
Kim, Gab-Lae (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine)
Lee, Jae-Hee (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine)
Lee, Eui-Soo (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine)
Publication Information
Journal of Korean Foot and Ankle Society / v.17, no.1, 2013 , pp. 52-59 More about this Journal
Abstract
Purpose: The purpose of this study is to evaluate treatment results of multidisciplinary approach of critical ischemic limb with diabetic foot. Materials and Methods: From March 2005 to March 2012, 674 diabetic foot patients were analyzed. Among them, 85 patients were neuroarthropathic type, 383 patients were infectious type, and 206 patients were ischemic type. The subjects were 206 patients who had critical ischemic limbs and major or minor amputations were done. Various single or combined treatment method before amputation was performed. We investigated their ABI, HbA1c, main occlusion lesion, limb salvage and hospitalization period by various treatment method. Results: Major amputation was 27 cases, minor amputation was 179 cases. Mean HbA1c was 8.2%, and mean ABI was 0.66. Main occlusion lesion was 6 cases at common iliac artery, 13 cases at external iliac artery, 9 cases at internal iliac artery, 11 cases at common femoral artery, 23 cases at deep femoral artery, 52 cases at superficial femoral artery, 35 cases at popliteal artery, 40 cases at posterior tibia artery, 35 cases at anterior tibial artery, 28 cases at peroneal artery, and 13 cases at dorsalis pedis artery. Major amputations were decreased, minor amputations were increased, and hospitalization period was reduced by treatment of multidisciplinary approach. Conclusion: Treatment of multidisciplinary approach, which include preoperation percutaneus transluminal angioplasty, vascular surgery, and amputation, of critical ischemic limb with diabetic foot had advantages of limb salvage and hospitalization period reduction.
Keywords
Critical ischemic limb; Diabetic foot; Multidisciplinary approach; Major amputation; Minor amputation;
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