Canadian journal of surgery. Journal canadien de chirurgie
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Review
Results of minor foot amputations for ischemia of the lower extremity in diabetics and nondiabetics.
Results of 208 minor amputations were analyzed in 179 patients who had no food pulses. Wound healing was assessed at 3 months in relation to diabetes and previous vascular surgery. ⋯ Transmetatarsal amputation should be considered more often as a conservative amputation for gangrene of the toes. The absence of a palpable posterior tibial pulse is a contraindication to the Syme's amputation.