Letter to the Editor

Limb Salvage Is a Viable Option in Managing Diabetic Foot Ulcers

Authors: Rajesh Nair, BSc, MD


To the Editor: Limb salvage has become an important modality in treating diabetic foot ulcers as a result of advancements in surgical techniques and wound healing. Why the renewed interest in salvage procedures? Elderly patients with multiple comorbidities who have diabetes mellitus have differing expectations than younger, more active patients. It would make sense to treat wounds with salvage procedures so that the older adult patient can resume his or her lifestyle and maintain independent ambulation without the use of a below-the-knee prosthesis. Studies have found that amputees were 2.7 times less likely to use their prosthesis if they are older than 60 years of age and are twice as less likely if they have coronary artery disease.1 Five-year mortality rates after major amputations have ranged from 39% to as high as 80%,2 therefore making limb salvage important.

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