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Surgical Management of Diabetic Foot Infections and Amputations.
AORN Journal
  • Thomas Zgonis, University of Texas Health Science - San Antonio
  • John J Stapleton, DPM, FACFAS, Lehigh Valley Health Network
  • Valerie A Girard-Powell
  • Ryan T Hagino
Publication/Presentation Date
The incidence of diabetes with severe foot infections (eg, necrotizing fasciitis, gas gangrene, ascending cellulitis, infection with systemic toxicity or metabolic instability) has risen significantly during the past decade. Foot infections are a major cause of hospitalization and subsequent lower extremity amputation among patients with diabetes mellitus who have a history of a preexisting ulceration. Surgical management often is required to address severe diabetic foot infections because they can be limb- or life-threatening. Critical limb ischemia, neuropathy, and an immunocompromised host, which often are associated with diabetic foot infections, complicate treatment and are associated with a poorer prognosis.
Document Type
Citation Information

Zgonis, T., Stapleton, J. J., Girard-Powell, V. A., & Hagino, R. T. (2008). Surgical management of diabetic foot infections and amputations. AORN Journal, 87(5), 935-946.