الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
For a long time, amputation was regarded as a terminal and destructive procedure with its primary aim of saving life . Recently , the interest in amputation surgery and rehabilitation was raised again and it is now considered a reconstructive procedure . One of the primary objectives of amputation should be the restoration of the normal function of ambulation
Major lower extremity amputation is indicated to remove gangrenous or severely infected parts of the limb and to relief the patient from severe rest pain .
It is very important to preserve as much of the length of a limb as possible . Preservation of the knee joint is vital for the patient .
The aim of the present study was to study the role of arterial disease in prediction of healing of Major lower-extremity amputations in diabetic patients .
This study was conducted on a cohort of 30 patients, 18 male , 12 female , with average age about 60 years old and , ( 3.3% ) type 1 diabetes , ( 96.7%) type 2 diabetes , average duration of diabetes was 25 years and , 40% have had previous surgery such as A.K.A in the other limb in 6.7% , amputation of the big toe in the same limb 20% and midtarsal amputation in 13.3 %
Clinical presentation of the patients was Full thickness gangrene of the foot in 40% of patients, Infected gangrene of foot 20%, forefoot gangrene 16.7%, Ischemic gangrene of foot 13.3% and 10% of the patients suffered from Septic ankle arthritis with charchot arthropathy
During clinical examination femoral pulsations were felt in all patients popliteal pulsations were felt in (56.7%) of the patients, posterior tibial pulsations were felt
in ( 46.73%) of the patients , dorsalis pedis pulsations were not felt in all patients .