Wound Healing in Forefoot Amputations: The Predictive Value of Toe Pressure

The correlation of fasting blood glucose levels with the severity of diabetic foot ulcers and the outcome of treatment strategies

“…Research has deduced that proximal amputations result in decreased ambulatory status due to inefficient biomechanics, hence when possible, partial foot amputation is recommended that will reduce morbidity and will help restore biomechanics esp. in old frail patients [38,39]. The results of our study articulate well with this understanding as, of a total of 123 amputations, a highest number of 56 (45.5%) ray amputations were performed in our cohort, followed by 36 (29.2%) above knee and 31 (25.2%) below knee amputations.…”

Prediction of wound healing after minor amputations of the diabetic foot

“…The healing failure rate of minor amputations is approximately 30%-45% (Vitti, Robinson, Hauer-Jensen, et al, 1994). There is no criterion or set of criteria such as toe blood pressure threshold that guarantees healing (Holstein & Lassen, 1980) or that predicts non-healing.…”

The wound healing trajectory and predictors with combined electric stimulation and conventional care: one outpatient wound care clinic's experience

“…Based on mathematical models and clinical data on conventional care, researchers proposed that wound size, age, elapsed time from wound appearance to the beginning of the treatment, initial healing rate during the first 2-4 weeks of treatment, skin perfusion pressure, body mass index (BMI), type of treatments and others may be related to and are important prognostic factors in wound healing [13][14][15][16][17][18][19][20][21][22]. Nonetheless, specific predictors differ in the literature [13][14][15][16][17][18][19][20][21][22], and understandings of factors affecting wound healing using E-stim are limited. To our best knowledge, only one study reported prognostic factors in wound healing with E-stim, which included wound size, patient's age, elapsed time from wound appearance to the beginning of the treatment, width-to-length ratio, location and type of treatment [23].…”