Transmetatarsal Amputations and Arterial Surgery in Diabetic Patients

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Abstract
DIABETIC patients, for reasons not well understood at present, are much more liable than nondiabetic persons to develop arterial insufficiency of the lower extremities. Good diabetic control lessens the incidence of this major complication but does not obviate the problem. Much can be accomplished for these patients, in whom areas of gangrene or other signs of arterial insufficiency have developed, by means of arterial reconstruction. With the restoration of adequate circulation, claudication and rest pain will disappear, and areas of gangrene may either heal or be removed by simple local procedures. In other cases in which this cannot be done . . .

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