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.