2006 Volume 55 Issue 4 Pages 448-450
Thirty-three cases of amputation in 24 hemodialysis patients were treated at our hospital between June 1992 and May 2005. They had undergone lower extremity amputation. We divided the patients into two groups: those who were healed and those who were not by the primary amputation. We compared them in terms of patients complications and clinical data, such as diabetes, ischemic heart disease, ejection fraction (EF), CRP, and albumin levels. In the unhealed group, the value of EF (49.2) was significantly lower than that in the healed group (63.9). EF signifies a cardiac function, but we consider that lower EF could be a prognostic factor for unsuccessful amputation. In the case of lower EF, the proximal safety level of amputation should be recommended in the patients with hemodialysis.
