Conclusion : In the setting of infected diabetic foot disease, a staged lower extremity amputation achieves quality outcomes superior to a one-stage amputation, despite the former cohort’s greater illness acuity level. SA should be considered in all diabetic patients presenting with active foot infection.

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Short-term contemporary outcomes for staged versus primary lower limb amputation in diabetic foot disease

Conclusion : In the setting of infected diabetic foot disease, a staged lower extremity amputation achieves quality outcomes superior to a one-stage amputation, despite the former cohort’s greater illness acuity level. SA should be considered in all diabetic patients presenting with active foot infection.

🧠 Key Points:

Staged amputation (SA) was compared with primary amputation (PA) in diabetic foot patients with severe infections.
• SA showed lower 30-day readmission (17% vs 27%) and 30-day unplanned reoperation (11% vs 13%).
• Length of stay and major adverse cardiovascular events were similar.
• SA may provide better short-term quality outcomes in selected patients.

Journal of Vascular Surgery (2020)

doi.org/10.1016/j.jvs.2019.10.083