Insensate -

Insensate foot of diabetic foot ulcer can have underlying silent neuropathic pain

Remarkably, even when plantar sensation is absent at the time of admission, an equal proportion (approximately 55%) of patients who undergo limb salvage can achieve normal plantar sensation at two years post-injury. Insensate

Insensate foot following severe lower extremity trauma Insensate foot of diabetic foot ulcer can have

The presence of an insensate foot (plantar sensory loss) following severe lower extremity trauma is a significant clinical challenge, historically often deemed an indication for primary amputation. However, modern advancements in vascular reconstruction and orthopedic salvage techniques have shifted the paradigm toward limb salvage. This paper examines whether limb salvage in the presence of an insensate foot results in inferior outcomes compared to amputation or sensate limbs. II. Functional Outcomes and Sensory Recovery This paper examines whether limb salvage in the

Studies indicate that patients in the "insensate salvage" group do not report or demonstrate significantly worse functional outcomes (physical or psychosocial scores) at 12 to 24 months compared to those who underwent primary amputation.

At two years, only a very small percentage of salvaged, initially insensate limbs result in persistent total anesthesia, meaning long-term functional loss is rare if the limb is successfully salvaged. III. Management Strategies for the Insensate Foot

Management and Outcome of the Insensate Foot in Lower Extremity Trauma I. Introduction