Diabetes complications

Bedside amputation surgery for isolated toe necrosis in diabetes units as an alternative to conventional amputation in surgery units

Diabetes MetabPublished Retrospective cohort study

Authors' conclusion

BAS is a safe and efficient approach for the treatment of isolated toe necrosis, resulting in a healing rate similar to that of conventional surgery.

Study context

Population
Patients with diabetes mellitus (DM) who underwent toe amputation for isolated necrosis complicating diabetic foot ulcer (DFU), two French diabetic foot units (05/2016–07/2023)attended 6-month follow-up
Participants
171 patients
Exposure
Bedside amputation surgery vs conventional amputation surgery
  • Bedside amputation surgery (BAS)n = 106
Outcome
Healing rate: complete skin epithelialization without recurrence, without secondary amputation
Follow-up
6 months
Methodological detailsobservational, multicentre
  • Observational
  • Multicentre

Main finding

As reported in the abstract

6-month healing rate

P = 0.852

Observational data: associations, not effects.

Further findings

Secondary surgery · not significantly different

P = 0.241

Original publication

Bedside amputation surgery for isolated toe necrosis in diabetes units as an alternative to conventional amputation in surgery units. Diabetes Metab. Published 17 January 2026. doi:10.1016/j.diabet.2026.101727

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