“Amputation-free” Resection or Amputation for Diabetic Foot Osteomyelitis — Tough Calls

A nice comparative series provides data to inform a difficult but common conversation.

What’s the Claim?

A large retrospective, comparative study found that with careful patient selection, “amputation-free resection” of infected bone and soft tissue in patients with diabetic foot osteomyelitis (DFO) resulted in:

  • No differences in microbiological recurrence or what they called “clinical failure” (essentially, another infection resulting in reoperation) at one year compared to amputations distal to the ankle
  • More unplanned reoperations over the 10-year surveillance period (70% versus 48%) than did amputation

How’s It Stack Up?