The XXXX foot: amputations and @entity281 .

@entity1 @entity295 @entity6 @entity63 @entity16 @entity532 @entity281 @entity1411
@entity16 , @entity63 , and an altered host defense make the @entity6 @entity1 particularly prone to the development of @entity1411 . Successful treatment must be directed at these three primary pathologic situations. Since a limb-threatening @entity281 carries a 25% risk of major amputation, early and prompt recognition and reporting of all foot problems are essential. @entity16 requires total rest of the injured part. An altered host defense requires knowledge of the bacteria involved and proper use of antibiotics. It requires strict adherence to sound surgical principles that ensure debridement of all necrotic material and adequate dependent drainage of the wound while conserving as much viable skin and tissue for later revision or conservative amputations. Once @entity295 is controlled, @entity63 extremities can be revascularized. Because of the peculiar nature of the @entity532 , revascularization procedures require the maximum skill and experience of the operating vascular surgeon. After revascularization, revisions or more conservative distal amputations can be achieved. @entity1 and physician education and understanding still remain essential not only to prevention but to successful management of all @entity6 foot-related problems.
