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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Chances For A Diabetic Patient With High BP To Survive After An Amputation ?

My mother is 82 vears old. She is a diabetic with high blood pressure . she may need her right leg amputed due to an ulcer that began on toe and now the ulcer is spreading to her foot. How high would the doctors need to amputate her leg and what are the chances of her surving from this?
Mon, 23 Jan 2012
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Diabetologist 's  Response
The surgeon is the best judge. Sometimes the decision has to be taken on the operating table as the extent of ulcer or infection is not visible from outside to the naked eye. So a probable forefoot amputation could end up as a below knee amputation on the operating table. The surgeons try their best to preserve as much as possible.

After surgery, if the patient walks, the pressure increases on the other foot and chances of it developing an ulcer increases if proper offloading with appropriate footwear is not done.

If the blood vessels of foot are involved in diabetes, there also is involvement of heart vessels. So her heart would not be as strong as others of her age.

If the diabetes, BP, septicemia are controlled and the amputation procedure goes on well with proper footwear advice thereafter, she should do well.

Wish her best luck.
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What Are The Chances For A Diabetic Patient With High BP To Survive After An Amputation ?

The surgeon is the best judge. Sometimes the decision has to be taken on the operating table as the extent of ulcer or infection is not visible from outside to the naked eye. So a probable forefoot amputation could end up as a below knee amputation on the operating table. The surgeons try their best to preserve as much as possible. After surgery, if the patient walks, the pressure increases on the other foot and chances of it developing an ulcer increases if proper offloading with appropriate footwear is not done. If the blood vessels of foot are involved in diabetes, there also is involvement of heart vessels. So her heart would not be as strong as others of her age. If the diabetes, BP, septicemia are controlled and the amputation procedure goes on well with proper footwear advice thereafter, she should do well. Wish her best luck.