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 special episode of We’re Not Stumped, we honor the life and legacy of Dr. Eric William Gabriel, PhD, a remarkable individual who recently passed away. Eric was a two-time guest on the We're Not Stumped podcast. A bi-lateral, above-knee amputee, Eric’s journey was one of resilience, determination, and unwavering spirit. From his early days playing baseball and competitive softball to his transformative experience with adaptive rowing, Eric never let adversity define him. After years of painful injuries led to the loss of both legs, Eric found new purpose in the sport of rowing, competing in the World Indoor Rowing Adaptive Championships and even earning a silver medal. His strength and perseverance inspired countless others, proving that challenges can be turned into opportunities. Though he is no longer with us, his story will continue to inspire and uplift those facing their own obstacles. Rest in peace, Eric—you will be deeply missed.
Golf should be accessible to everyone, and VertaCat is making that a reality with the VertaCat Golf Cart! In this episode of We're Not Stumped, host Mike Bolland talks with Steve Doudt to discuss how this revolutionary adaptive golf cart is changing the game for individuals with mobility challenges. Steve, a bilateral above-the-knee amputee due to a motorcycle accident in 1992, has an inspiring journey of resilience and determination. After serving in the USAF 1721st Combat Control Squadron, Special Operations Team, he transitioned into adaptive sports, including wheelchair basketball and sitting volleyball, even competing in the 1996 and 2000 Paralympic Games. In recent years, Steve has embraced golf, achieving significant success in adaptive tournaments. The VertaCat has been instrumental in his golfing journey, allowing him to stand and swing freely, enhancing his performance on the course.
In this episode of We're Not Stumped, host Mike Bolland sits down with Tim Balz, founder and CEO of Kalogon, (https://www.kalogon.com) to discuss how cutting-edge technology is improving mobility and independence for wheelchair users. Mike and Tim also explore the challenges of starting a company in the accessibility space, the importance of inclusive design, and how Kalogon is working alongside healthcare professionals and wheelchair users to bring life-changing innovations to the mobility community. Tune in for an insightful conversation about innovation, advocacy, and the future of assistive technology. Whether you're a wheelchair user, a caregiver, or simply interested in groundbreaking advancements in mobility, this episode is packed with valuable insights!
