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Foot problems in diabetes mellitus

More proximal upper limb replantations may occasionally be done in younger patients. Lower limb replantations are rarely indicated because a prosthesis can substitute for the amputated part in a more functional, timely and economical manner. When an amputation has occurred, bleeding in the proximal stump should be controlled by direct compression and elevation. The amputated part should be wrapped in a clean or sterile bandage and placed in a waterproof container such as a plastic bag or cup. The container should be placed on ice to keep the part cold but not frozen. Once cooled the amputated part can withstand at least several hours of anoxia, but the replantation procedure should be initiated at once. The primary physician should examine the proximal limb and the amputated part both visually and radiographically. With this information the physician can then contact a replantation center for consideration of patient transfer.