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Previous Volume 331:854-860 September 29, 1994 Number 13 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The human and financial costs of lower-extremity amputation in patients with diabetes mellitus are well recognized¹. However, the rates of major amputation in the United States remain high,² in part because present knowledge regarding the prevention and management of foot disease is not widely applied in clinical practice. The U.S. Department of Health has set a goal for the year 2000 of a 40 percent reduction in amputation rates among diabetic patients³. Methods to achieve this goal are available today. For example, in the majority of diabetic patients, the initial condition that eventually leads to amputation is a . . . [Full Text of this Article]

The Neuropathic Ulcer

The Role of Neuropathy

The Role of Mechanical Stress

Management of Neuropathic Ulcers

Prevention of Neuropathic Ulcers

Infection

Surgical Aspects

Summary

Source Information

From the Department of Medicine, Pennsylvania State University College of Medicine, Milton S. Hershey Medical Center, Hershey, Pa. (G.M.C., P.R.C., J.S.U.); and the Departments of Surgery (G.W.G.) and Medicine (A.W.K.), New England Deaconess Hospital, Harvard Medical School, Boston.

Address reprint requests to Dr. Caputo at the Division of General Internal Medicine, Milton S. Hershey Medical Center, 500 University Dr., Hershey, PA 17033.

References

Related Letters:

Foot Disease in Diabetes
Goldenheim P. D., Gohdes D., Rith-Najarian S., Capelli-Schellpfeffer M., Philipson L. H., Caputo G. M., Ulbrecht J. S., Gibbons G. W.
Extract | Full Text  
N Engl J Med 1995; 332:269-270, Jan 26, 1995. Correspondence

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