Sequelae of limited amputation. ³

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Light JT Jr. Rice JC. Kerstein MD. Surgery. [JC:vc3] 103(3):294-9, 1988 Mar. Ninety patients underwent toe amputations because of vascular disease; 21% required higher amputation and 21% healed without further surgery (i.e., revascularization). Of 60 patients who required bypass surgery, 52 underwent successful first amputations and eight required higher amputations. No difference was seen between diabetic and nondiabetic patients in eventual limb salvage; however, men fared better than women. Without bypass surgery, 11 of 30 patients required a higher level of amputation. No patient's toe amputation site healed with an ankle-to -brachial index of le0s than 0.35. Th
jqdicious use of toe amputation rema
ns an importantto`l in the surgeon's quest for limb salvage. <*BODY>