Assistant Professor of Vascular Surgery, Shiraz University of Medical Sciences, Namazi Hospital
Abstract
The global prevalence of diabetes has reached epidemic proportions, leading to an increase in related complications, among which lower limb amputations stand out as a significant medical challenge. Diabetic patients often experience a wide range of vascular, neuropathic, and immune system abnormalities, resulting in impaired wound healing and heightened sensitivity to infections. The development of foot ulcers is a common cause of lower limb amputations in diabetic patients. Peripheral neuropathy and reduced blood circulation frequently lead to unnoticed injuries and delays in wound healing. These factors, combined with immune system dysfunction, create a conducive environment for infections, ultimately resulting in tissue necrosis and potentially amputation. Additionally, comorbid conditions such as peripheral arterial disease and renal dysfunction intensify the challenges of wound healing and postoperative recovery. Preventive and management strategies to address the crisis of limb amputation in diabetic patients are crucial. Educating patients about foot hygiene, appropriate footwear, and regular check-ups is vital for preventing diabetic foot ulcers. This article explores various aspects of amputation in patients with diabetic foot disease, including classification of amputation methods, identification of risk factors associated with lower limb amputation, implementation of effective medical management strategies for diabetic patients undergoing amputation, and more. The goal is to provide comprehensive and nuanced information aimed at enhancing treatment efficacy and improving the quality of life for these patients through care provided by healthcare professionals.
Hoseinzadeh,A , Tajaddini,A and Zaferani Arani,H . (2025). Lower Limb Amputation and Diabetes: An Urgent Call to Attention to This Medical Challenge. Iranian Journal of Surgery, 33(Spring), 1-23.
MLA
Hoseinzadeh,A , , Tajaddini,A , and Zaferani Arani,H . "Lower Limb Amputation and Diabetes: An Urgent Call to Attention to This Medical Challenge", Iranian Journal of Surgery, 33, Spring, 2025, 1-23.
HARVARD
Hoseinzadeh A, Tajaddini A, Zaferani Arani H. (2025). 'Lower Limb Amputation and Diabetes: An Urgent Call to Attention to This Medical Challenge', Iranian Journal of Surgery, 33(Spring), pp. 1-23.
CHICAGO
A Hoseinzadeh, A Tajaddini and H Zaferani Arani, "Lower Limb Amputation and Diabetes: An Urgent Call to Attention to This Medical Challenge," Iranian Journal of Surgery, 33 Spring (2025): 1-23,
VANCOUVER
Hoseinzadeh A, Tajaddini A, Zaferani Arani H. Lower Limb Amputation and Diabetes: An Urgent Call to Attention to This Medical Challenge. Iranian Journal of Surgery. 2025;33(Spring):1-23.