Partial foot amputations may not always be worth the risk of complications

Peter A Lazzarini, Matthew Malone and Paul R Wraight
Med J Aust 2014; 200 (11): . || doi: 10.5694/mja14.00476
Published online: 16 June 2014

To the Editor: Dillon and colleagues present a challenging perspective on the evidence comparing partial foot amputation (PFA) and below-knee amputation (BKA) outcomes.1,2 Australia's diabetes-related major amputation rates have only recently reduced to international levels3 and we fear that any oversimplistic perspectives may be detrimental to these improved rates and, importantly, to our patients. Thus, we believe these articles1,2 should be read cognisant of some important points.

  • Peter A Lazzarini1,2
  • Matthew Malone3
  • Paul R Wraight4

  • 1 School of Clinical Sciences, Queensland University of Technology, Brisbane, QLD.
  • 2 Allied Health Research Collaborative, Metro North Hospital and Health Service, Brisbane, QLD.
  • 3 High Risk Foot Service, Liverpool Hospital, Sydney, NSW.
  • 4 Diabetic Foot Unit, Royal Melbourne Hospital, Melbourne, VIC.

Competing interests:

No relevant disclosures.


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