Diabetic limb salvage: too much of a good thing?

Diabetic foot complications exact a significant toll on patients specifically and the health care system in general. Most data suggest that limb preservation generally results in a higher quality (and quantity) of life for the patient and lower overall direct and indirect costs. However, when focusing on a specific patient, significant questions remain. The most significant being: how much effort is too much? The purpose of this manuscript is to present a case that explores this issue.