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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Over the years, I've been asked a lot of questions—some serious, some funny, and some I've heard more times than I can count. In this solo episode of the We're Not Stumped Podcast, I'm answering five of the questions I get asked a lot. Do I wear a prosthesis? How do I bowl with one hand? Have I always had a positive attitude? Do people still stare? And what keeps me motivated? I'll share some stories from growing up with a limb difference, becoming the first person with limb loss to compete on the PBA Tour, overcoming cancer, and why I've learned that attitude isn't something you're born with—it's something you choose every day.
In this episode of the We're Not Stumped Podcast, Mike Bolland welcomes Lynn Jensen, author of Best Kept Secrets for Travelers With Sight Loss, to share her remarkable journey from sudden blindness to living an independent, adventurous life filled with travel, purpose, and humor. Lynn discusses the challenges she faced after losing her vision, from relearning everyday tasks to navigating the world with guide dogs. She shares practical travel tips for people with sight loss, explains common misconceptions about blindness, and discusses how independence looks different for everyone.
Over the past few days, I was fortunate to be featured by ABC15 and Arizona's Family as I prepare for my return to PBA competition after more than 30 years away from the sport. The television stories were fantastic, but as anyone who has ever done an interview knows, there's always more that doesn't make the final cut. In this special solo episode of the We're Not Stumped podcast, I share some of the stories, organizations, and experiences that didn't make it into the TV segments, including: • The mission behind the We're Not Stumped podcast • Joe & Marie Bolland's Helping Hands and supporting people with limb loss and limb differences • Enable Review and helping people make informed prosthetic care decisions • Why this comeback is about much more than bowling
