Amputations and Rehabilitation

Amputation of a lower limb is a life-altering event and is often perceived as a failure of conservative treatment or an inevitable, unpreventable consequence of diabetes. This is erroneous, and an amputation should rather be considered reconstructive, when possible, and a definitive treatment option. Within the diabetic community, major and minor lower extremity amputations often occur due to ischemia or uncontrolled infections. This chapter will examine various elements that should be assessed to enhance the outcome of an amputation, including the surgical technique and critical considerations during the procedure. Following the surgery, rehabilitation and fabrication of an appropriate prosthesis or orthotic device is prescribed to regain functional mobility and reduce the development of new areas of tissue breakdown. The factors that impact a patient’s ability to regain their ability to be a community ambulator will also be examined.