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.
Listen on Apple Podcasts
Watch on YouTube
Listen on Spotify
In this episode of We’re Not Stumped, host Mike Bolland chats with Ryan Wilson—founder of Team Trust Productions—for a conversation about how adaptive athletes are using the power of media to change the narrative around disability. Ryan shares his journey from discovering adaptive sports at the University of Illinois to launching a creative agency that centers disabled voices through authentic storytelling and inclusive marketing. He opens up about the challenges of building a business as a wheelchair user, the impact of his Disability Marketing Guide, and why empathy and representation are key to reshaping public perception. You’ll hear how Team Trust Productions is growing, how Ryan balances entrepreneurship with health, and why he believes adaptive athletes should be recognized not for their struggles, but for their strength, skill, and spirit.
In this powerful episode of We’re Not Stumped, host Mike Bolland shares two powerful stories of resilience, recovery, and the human spirit: 🏅 A Double Amputee’s Olympic Journey After surviving a devastating accident, this athlete didn’t give up—he set his sights on the Paralympic Games. Learn how he turned trauma into purpose, using adaptive training and relentless determination to pursue a spot on Team USA. 🦿 Mission Gait: Advancing Gait Rehabilitation Worldwide Meet the people behind Mission Gait, a nonprofit transforming the way physical therapists treat patients with complex walking challenges. From educational programs to international outreach, Mission Gait is creating a global movement for mobility. 🎧 Whether you're part of the limb loss community or just need a boost of hope, this episode shows what's possible when we move forward with purpose.
In this powerful episode of We’re Not Stumped, host Mike Bolland sits down with Eric Ford to talk about the car accident that changed the course of his life. In 2009, while driving through Atlanta with his children, Eric was struck by a drunk driver. Though his children escaped with only minor injuries, Eric was left with life-threatening damage to his leg. Over the next two months, Eric endured 12–13 surgeries, including skin and muscle grafts, in an attempt to save the leg. When the wound continued to reopen and the pain became unbearable, he made the courageous decision to undergo an amputation. Eric shares the emotional and physical challenges of that decision, and how it ultimately gave him a new lease on life.
