All patients with diabetic gangrene of the foot would always choose to have their foot and never agree to an amputation. They usually would only give their consent on the last minute. In some cases, it is the doctor who will make the decision by force to save the life of the patient. Because of this, doctors would tend to be radical and amputate further up the limb instead of conserving the remaining foot. For a small lesion, the whole lower extremity is not spared. For the last 31 years, I have geared towards conservation. If I can spare the foot, I will do debridement conservatively and allow the foot to grow more tissues instead of amputating. And I had very successful rate in these patients to preserve their foot. Though it took months for them to have a normal foot, at least, they had their foot and walked normally unlike amputees.
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