Foot problems in the diabetic transplant recipient.
Journal Article (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.
- Kalker, AJ; Pirsch, JD; Heisey, D; Sollinger, HW; Belzer, FO; Knechtle, SJ; D'Alessandro, AM
- December 1996
Volume / Issue
- 10 / 6 Pt 1
Start / End Page
- 503 - 510
International Standard Serial Number (ISSN)