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[Diagnostic criteria in choosing the method of operative treatment of diabetes mellitus with gangrene of the toes].

A variety of clinical variants, the absence of a common opinion on the terms and volume of surgery hamper the selection of the right strategy of treatment. Search for simple and open to general use methods of investigation of the state of hemocirculation in the extremity still remain actual which could help determine the surgical strategy at the early terms of treatment. Clinico-instrumental investigations in 60 patients with necrotic diseases of feet allowed detection of group differences in the character and degree of hemodynamic disorders and confirmed the necessity to differentiate gangrenous injury of the foot determining choice of the operative policy and probable prognosis of the outcome of the disease.