Ulceration is the most important manifestation of a diabetic foot at risk for amputation. If untreated, the diabetic foot ulcer can enlarge, extend to the deep tissues, and become infected. Deep infection and formation of an abscess can follow and…
Arm veins are now well established as versatile arterial conduits for infrainguinal arterial reconstruction. Although cephalic veins were demonstrated to be effective for leg revascularization in 1969, they did not receive wide application until the early 1980s. By that time…
With the expanded application of the radiation therapy of malignancies has come the increased recognition of radiation-induced arteritis. Because ensuing vascular complications often develop insidiously, presenting as chronic ischemic syndromes, the role of earlier radiation is often overlooked. Radiation-associated arteriopathy…
Historical Background In 1946 McKittrick described the use of the transmetatarsal amputation for the diabetic foot, along with specific indications including infection, ischemia, and neuropathic ulcerations of the toes and forefoot. He noted that forefoot amputation just proximal to the…