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The Journal of Bone and Joint Surgery, Vol 71, Issue 2 257-264, Copyright © 1989 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Gangrene of the upper extremity in diabetic patients

SW Lagaard, EC McElfresh and RF Premer
Minneapolis Veterans Administration Medical Center, Minnesota 55417.

Twenty-two patients who had diabetes mellitus and had needed an amputation for gangrene in an upper extremity at an average age of fifty-one years were identified and followed. The five patients who were still living at the latest follow-up had been followed for an average of 50.6 months. The other seventeen patients survived for an average of only 20.6 months after the amputation. All of the patients were in poor health; eighteen had needed an amputation in a lower extremity, and sixteen received hemodialysis. The results of amputation in an upper extremity were unsatisfactory; the site of the initial amputation healed in only two of the twenty-two patients. In the remaining twenty patients, a total of sixty-three additional operations were performed on an upper extremity, and five of the twenty patients died before the wound had healed.
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