[Reconstruction possibilities in obliterative arterial diseases in diabetics].

Authors treated 144 diabetic patients with arterial angiopathy localised to the lower extremities. 114 cases belonged to III. and IV. stages. There was a possibility in 55 (38.2 per cent) for reconstructive surgery, 80 per cent of the reconstructive procedures localised to the femoro-popliteal region. In 20 cases a so-called "high", in 61 a "low" (minor) amputation was performed, 14 patients died. In 113 cases (78.47 per cent) an improvement or a cure could have been achieved, of whom 52 with the complete preservation of the extremity, and in the others after necrectomy or minor amputation. Authors emphasize that, in more than a half of the cases the obstruction localised to the femoropopliteal and iliacal region, so the possibilities of the vascular surgery are given in a considerable number of diabetic patients.