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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In this episode of We're Not Stumped, host Mike Bolland welcomes Dr. Stephanie Cawthon, a disabled author, speaker, and researcher, to discuss her groundbreaking new book, Disability as Human. As a professor at the University of Texas at Austin and the founder of the National Disability Center for Student Success, Stephanie wears many professional "hats" in her mission to advance accessibility and disability inclusion. Beyond individual experiences, Stephanie and Mike explore the importance of systems-level work in accessibility. Stephanie highlights the need for proactive and sustainable solutions that bring disabled students into the heart of decision-making. She also delves into the challenges and rewards of driving meaningful, large-scale change. Join us for an insightful discussion that redefines how we view disability and inclusion in education and beyond!
Ana L. Reyes’ story is one of unwavering faith, resilience, and service. In 2017, Ana was diagnosed with cancer, and three years later, she became an amputee. But her faith never wavered. Born in San Juan, Puerto Rico, Ana has dedicated her life to her family, community, and ministry. A devoted wife, mother, and grandmother, she has also spent 20 years shaping young minds as a teacher. Alongside her husband, Rev. Marc Reyes, she has led Good Shepherd Ministries Church in West Haven, CT, for nearly two decades. Now an ordained minister, she continues to travel on missionary trips, serve her community, and inspire others through her book, Still Standing: An Amputee’s Story of Hope—a powerful testament to overcoming adversity through faith. Join us as Ana shares her incredible story of perseverance, proving that even in life’s greatest challenges, hope and faith can keep us standing.
In this episode of We're Not Stumped, we dive into the journey of a local teen who is redefining the game of softball. After undergoing a double amputation, she hasn’t just adapted—she’s excelling, competing at a high level, and proving that determination and passion can overcome any obstacle. Next, we spotlight A Leg Forever, a nonprofit dedicated to supporting amputees and their families. A Leg Forever Charitable Foundation was established by Elizabeth (Liz) Norden in honor of her two sons JP and Paul Norden who each lost a leg in the Boston Marathon bombings on April 15, 2013.
