The artifice of foot amputation for preservation of walking ability

Abstract

Among CLI (critical limb ischemia) patients, a decline of walking ability after foot amputation is associated with mortality. We have to preserve legs as long as possible, but long duration to treat and additional amputations prevent rehabilitation. Peripheral blood flow is decreased by foot amputation, and so fails stump healing. We have to recognize angiosome concept for foot amputation with peripheral blood flow, which involve arterial-arterial connection, metatarsal artery and digital artery, retained. Minimizing damage to peripheral blood flow is importance for wound healing.