Foot problems in the diabetic transplant recipient.

Journal Article

Diabetic transplant recipients are at a high risk for foot pathology leading to amputation. This retrospective study from 1/85 to 2/95 examines the risk of foot complications in a population (n = 340) of diabetic renal and combined renal/pancreas transplant recipients. All groups suffered high lower extremity amputation and foot fracture rates. Patients with better circulation and protective sensation intact fared better. Smoking had a profoundly negative effect on the amputation rate as did an amputation prior to the transplant. Patients with pretransplant dialysis were at a higher risk for post-transplant amputation. Concomitant pancreas transplant did not in general significantly affect the risk of amputation or fracture. Females had almost twice the fracture rate of males.

Duke Authors

Cited Authors

  • Kalker, AJ; Pirsch, JD; Heisey, D; Sollinger, HW; Belzer, FO; Knechtle, SJ; D'Alessandro, AM

Published Date

  • December 1996

Published In

Volume / Issue

  • 10 / 6 Pt 1

Start / End Page

  • 503 - 510

PubMed ID

  • 8996770

Electronic International Standard Serial Number (EISSN)

  • 1399-0012

International Standard Serial Number (ISSN)

  • 0902-0063


  • eng