83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation. The patient had a failed popliteal to dorsalis pedis artery bypass graft. An attempt at endovascular repair also failed. The patient came for a second opinion. A second at endovascular repair was successful. The patient had a transmetarsal amputation which healed. He continued to live on his own for another 4 years, enjoying his life with both legs.
46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle.
Review of the clinical findings and their usefulness in identifying patients with peripheral arterial disease
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.