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What the Researchers Say
Osteomyelitis is not
considered an indication for amputation. The osteomyelitis lesions
healed and the foot structure and
function were maintained.
Dillon RS: Treatment of Osteomyelitis in the Diabetic Foot with Systemic
and Locally injected Antibiotics and the End-diastolic Pneumatic
compression
Boot - Case Series Vascular Surgery Vol. 24 #9 Nov/Dec 1990
"Early leg amputation was avoided in
all but one patient.
Late leg amputation occurred in two patients who
were lost to
follow-up care. Osteomyelitis, ischemic necrosis, and
advanced
soft tissue infection were shown not to be clear-cut
indications for amputation in the
ischemic diabetic foot."
Dillon RS: Successful treatment of
osteomyelitis and soft tissue infections
in ischemic diabetic legs by
local antibiotic injections and the
end-diastolic pneumatic compression
boot.
Ann Surg 204(6):643-9,1986. |