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Volume 87
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Journal of the American Podiatric Medical Association is published by MDPI from Volume 116 Issue 1 (2026). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with American Podiatric Medical Association.
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Article

Surgical Morbidity and the Risk of Amputation Due to Infected Puncture Wounds in Diabetic Versus Nondiabetic Adults

by
David G. Armstrong
1,2,3,
Lawrence A. Lavery
1,2,3,
Terri L. Quebedeaux
1,2,3 and
Steven C. Walker
1,2,3
1
Department of Orthopaedics, University of TexasHealth Science Center at San Antonio
2
Department ofAnesthesiology and Operative Services, Brooke Army MedicalCenter
3
Mexican American Medical TreatmentEffectiveness Research Center, San Antonio, Tex
J. Am. Podiatr. Med. Assoc. 1997, 87(7), 321-326; https://doi.org/10.7547/87507315-87-7-321
Published: 1 July 1997
Versions Notes

Abstract

We reviewed the hospital course of 77 diabetic and 69 nondiabetic subjects who had incision, drainage, and exploration of infected puncture wounds of the foot. Diabetics were 5 times more likely to have multiple operations and 46 times more likely to have a lower extremity amputation than nondiabetics. The interval from injury to surgery was significantly longer in diabetics than nondiabetics. Total lymphocyte count and hemoglobin, hematocrit, and albumin values were significantly lower in diabetics than in nondiabetics. Diabetic amputees had higher prevalences of nonpalpable pulses, nephropathy, neuropathy, and osteomyelitia as compared with diabetic nonamputees. The neuropathic diabetic foot is not protected by pain. When combined with other comorbid factors, this may increase morbidity associated with puncture wounds of the foot.

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MDPI and ACS Style

Armstrong, D.G.; Lavery, L.A.; Quebedeaux, T.L.; Walker, S.C. Surgical Morbidity and the Risk of Amputation Due to Infected Puncture Wounds in Diabetic Versus Nondiabetic Adults. J. Am. Podiatr. Med. Assoc. 1997, 87, 321-326. https://doi.org/10.7547/87507315-87-7-321

AMA Style

Armstrong DG, Lavery LA, Quebedeaux TL, Walker SC. Surgical Morbidity and the Risk of Amputation Due to Infected Puncture Wounds in Diabetic Versus Nondiabetic Adults. Journal of the American Podiatric Medical Association. 1997; 87(7):321-326. https://doi.org/10.7547/87507315-87-7-321

Chicago/Turabian Style

Armstrong, David G., Lawrence A. Lavery, Terri L. Quebedeaux, and Steven C. Walker. 1997. "Surgical Morbidity and the Risk of Amputation Due to Infected Puncture Wounds in Diabetic Versus Nondiabetic Adults" Journal of the American Podiatric Medical Association 87, no. 7: 321-326. https://doi.org/10.7547/87507315-87-7-321

APA Style

Armstrong, D. G., Lavery, L. A., Quebedeaux, T. L., & Walker, S. C. (1997). Surgical Morbidity and the Risk of Amputation Due to Infected Puncture Wounds in Diabetic Versus Nondiabetic Adults. Journal of the American Podiatric Medical Association, 87(7), 321-326. https://doi.org/10.7547/87507315-87-7-321

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