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Ralph Ger, MD

Arch Surg. 1985;120(11):1317-1320.

Abstract
• Five of six major amputations of the lower extremity involve diabetic patients. It should be possible to reduce the number of major amputations by substituting reconstructive for destructive surgery, by radical local surgical débridement, by achieving healing of chronic foot lesions, by the early diagnosis of spread of infections from foot to leg, by limiting minor amputations, by improving the blood supply, and by providing a continuum of care by experienced personnel who supervise the foot status of the patient on an ongoing basis. In my experience, the application of these principles over the past seven years has precluded major amputation in the treatment of 48 diabetic patients with serious lower extremity lesions.

(Arch Surg 1985;120:1317-1320)

Author Affiliations
From the Departments of Surgery, Winthrop University Hospital, Mineola, NY, and State University of New York at Stony Brook.

Footnotes
Accepted for publication July 24, 1985.

Reprint requests to Department of Surgery, Winthrop University Hospital, 259 First St, Mineola, NY 11501 (Dr Ger).

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