Amputation in diabetic foot ulcer: A treatment dilemma

doi:10.5312/wjo.v14.i5.312

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World Journal of Orthopedics

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World J Orthop. May 18, 2023; 14(5): 312-318
Published online May 18, 2023. doi: 10.5312/wjo.v14.i5.312

Amputation in diabetic foot ulcer: A treatment dilemma

Raden Andri Primadhi, Rani Septrina, Putie Hapsari, Maya Kusumawati

Raden Andri Primadhi, Department of Orthopaedics and Traumatology, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung 40161, Indonesia

Rani Septrina, Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung 40161, Indonesia

Putie Hapsari, Division of Vascular and Endovascular Surgery, Department of Surgery, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung 40161, Indonesia

Maya Kusumawati, Internal Medicine, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung 40161, Indonesia

Author contributions: Primadhi RA performed the majority of the writing and figure preparation; Septrina R, Hapsari P, and Kusumawati M provided input and correction into the paper writing.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Raden Andri Primadhi, MD, PhD, Assistant Professor, Surgeon, Department of Orthopaedics and Traumatology, Universitas Padjadjaran/Hasan Sadikin Hospital, Jalan Pasteur 38, Bandung 40161, Indonesia. randri@unpad.ac.id

Received: March 2, 2023
Peer-review started: March 2, 2023
First decision: March 24, 2023
Revised: March 27, 2023
Accepted: April 18, 2023
Article in press: April 18, 2023
Published online: May 18, 2023

Core Tip

Core Tip: Making a decision regarding amputation for diabetic foot patients is not as simple as following guidelines, such as scoring systems. There are many influential factors that come from different perspectives and are sometimes contradictory. Decision-making should consider other clinical and sociocultural factors, with the improvement of patient quality of life as the main goal.