Limb Salvage vs. Amputation: When Is Saving the Limb Not the Best Outcome?
When should a limb be saved—and when might amputation provide a better quality of life?
On this episode of We’re Not Stumped, Mike Bolland talks with podiatric surgeon Dr. Danny Ghannoum about limb salvage, diabetic foot complications, Charcot neuroarthropathy, bone infections, and the difficult decisions that can lead to lower-limb amputation.
Dr. Ghannoum explains how diabetes, peripheral neuropathy, poor circulation, foot ulcers, and osteomyelitis can put a limb at risk. He also shares complex patient cases that illustrate an important point: saving a limb isn’t always the same as achieving the best outcome for the patient.
The conversation explores advances in limb salvage and reconstructive surgery, including bone fusion techniques, while emphasizing the importance of considering each patient’s lifestyle, goals, and quality of life when making treatment decisions.
Mike and Dr. Ghannoum also discuss patient advocacy and second opinions, with Dr. Ghannoum encouraging patients to take an active role as the “quarterback” of their healthcare team.
Topics include:
- Limb salvage vs. amputation
- Diabetes and amputation risk
- Peripheral neuropathy
- Charcot foot / Charcot neuroarthropathy
- Diabetic foot ulcers and infections
- Osteomyelitis
- Below-the-knee amputation
- Limb reconstruction and fusion
- Patient advocacy and second opinions
- Quality of life when making treatment decisions
We’re Not Stumped shares conversations about limb loss, limb difference, prosthetics, adaptive living, advocacy, and the people working to improve outcomes for the limb loss community.
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Ten years after cancer surgery, Mike Bolland found himself on the field at an Arizona Cardinals game, representing all cancers during the NFL’s Crucial Catch recognition. In this personal episode of We’re Not Stumped, Mike reflects on the journey from surgery and radiation to pursuing two goals: performing stand-up comedy and bowling on tour one more time. Those decisions helped lead to motivational speaking, a return to competition on the PBA60 Tour, and his message, “Take the Shot Anyway.” Mike also honors the podcast guests who have shared their own cancer journeys, including those who experienced limb loss, and the people whose support helped him through treatment and recovery.
In this episode of We’re Not Stumped, Neomi Flores joins host Mike Bolland for an in-person conversation about traveling and EmpowerFest. Neomi is missing her left leg below the knee and brings her own perspective to the conversation. Neomi and Mike discuss experiences on the road and the connections made through events like EmpowerFest. Recorded together in person, this episode explores the value of meeting people and sharing experiences within the disability community. Have you attended EmpowerFest? What’s your favorite travel experience? We’d love to hear from you.
Everyone has a story worth sharing—and at the 2027 Amputee Coalition National Conference, those stories will take center stage. It’s an honor for We're Not Stumped host Mike Bolland to serve as host and help create a welcoming space for the community’s voices. “Story Slam: Where Every Story Finds Its Light” brings the community together for an evening of laughter, connection, and five-minute stories. Twenty storytellers will be selected at random to share a moment from their lives. There’s no competition, no judging, and no expectation that a story must be inspirational or about limb loss or limb difference. In this episode of We’re Not Stumped, Mike Bolland introduces the event and shares what attendees can look forward to.
