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Table 3 Summary of indications for conservative surgical approach or primary amputation

From: Treatment of the diabetic foot – to amputate or not?

Debridement/minor amputation Primary amputation
Good blood supply to foot but infected wet gangrene (infection + ischaemia)
Small vessel disease and gangrenous toes life-threatening sepsis
Successful surgical bypass extensive muscle necrosis
Neuropathic foot with little arterial disease revascularisation technically impossible, bed-ridden patients/functionally useless limb
Osteomyelitis with little arterial disease