Do foot ulcers infected with diabetic complications have to be amputated?

  In response to the question of whether amputation is necessary for diabetic foot, an endocrinologist once said that doctors do not easily let patients amputate their limbs, and that amputation is a last resort to preserve life and maximize health.  Is amputation really to maximize health?  We know that the chances of recurrence after amputation of diabetic foot are very high, and the mortality rate 5 years after surgery can be as high as 70%, is this for health? We have treated a patient with infected and necrotic toe, and the hospital wanted to amputate it, is this really for health? Do not say that this is an isolated case, we have seen many similar patients, I wonder what you think.  Many of the patients we treat in our hospital, many of whom are treated locally, are going to have their limbs amputated, but the actual situation is not to the point of amputation. It turns out that if we are willing to spend a few hours debriding a patient’s wound and can tolerate the strong physiological reaction to wound infection and necrosis, there is absolutely no need for amputation.  More often than not, the first thing that comes to mind is “fast and accurate”, and the treatment guidelines say that amputation is one of the conventional methods, so there is no excuse for choosing it, right? You can not find fault with it, everyone chooses. In fact, this is the crux of the matter, we have become accustomed to it, and this is the most terrible.  I’ve been to many local forums on diabetic foot, and I’ve actually had quite a few doctors tell people to pay attention to this problem, because the real situation doesn’t necessarily require amputation to get better. We are now always striving to save more patients from losing their right to walk freely, knowing how difficult this road is, and there is resistance from fellow doctors, and in the general direction, from the disbelief of Western doctors in Chinese medicine (or Chinese and Western medicine).  In fact, Chinese medicine and Western medicine in the treatment of diabetic foot can have their own roles, for example, Western medicine to control infection, blood sugar, blood pressure and blood lipids, treatment of kidney disease, cardiovascular disease, etc., to improve the overall physical condition of patients; Chinese medicine attaches importance to the treatment of local wounds above, the use of Chinese ointment to remove decay and pluck poison, simmering pus and muscle, can improve the immunity and resistance of the wound. The combination of the two together can ultimately achieve the purpose of conservative treatment.  Therefore, when you encounter a situation that “requires” amputation, it is best not to undergo surgery right away. After comprehensive treatment through Chinese medicine or a combination of Chinese and Western medicine, diabetic foot can be cured without amputation.