Factors Favoring Successful Transmetatarsal Amputation in Diabetes

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Abstract
ALTHOUGH the emergency character of infectious or early gangrenous lesions of the toes and feet of diabetic patients has long been recognized by most physicians, a new aspect of this problem is presented by the demonstration that in many diabetic patients a useful and serviceable foot can be preserved through the proper use of the transmetatarsal amputation.1 , 2 Actually, in the last two years major amputations above the ankle have become less frequent at the New England Deaconess Hospital (Table 1). The danger inherent in minor lesions and the importance of teaching all older diabetic patients simple prophylactic measures appeared time . . .

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