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John J. Roach, MD; Arthur Deutsch, MD; Douglas S. McFarlane, MB, ChB, FRCS(E)

Arch Surg. 1987;122(8):931-934.

Abstract
• When a patient with neuropathic diabetic gangrene of the foot has sepsis, it is not always necessary to do a below-knee guillotine amputation or a Syme's amputation. In more than six years we have done 18 successful open Lisfranc's and Chopart's amputations. Improved ambulation has been achieved in three months using simple shoe prostheses. All flaps are fashioned immediately and never sutured. No equinus deformities have developed.

(Arch Surg 1987;122:931-934)

Author Affiliations
From the Department of Surgery, Veterans Administration Medical Center, Fayetteville, NC.

Footnotes
Accepted for publication June 3, 1986.

Reprint requests to Veterans Administration Medical Center, 2300 Ramsey St, Fayetteville, NC 28301 (Dr Roach).

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