In seven patients, the new lesion was treated and healed with dressing. Fifteen patients developed new ulcerations, with 11 lesions occurring ipsilaterally and 4 contralaterally to the first ray amputation. RESULTS-The mean follow-up duration was 16.35 ± 6.76 months (range 7–28). Following surgical wound healing, all patients wore special footwear with rocker bottom soles and custom molded insoles and were put on an intensive secondary prevention program. The first ray lesions were Wagner grade 2 in 3 patients, Wagner grade 3 in 47 patients, and Wagner grade 4 in 39 patients. RESEARCH DESIGN AND METHODS-We evaluated a cohort of 89 diabetic patients, 63 men and 26 women, who underwent first ray amputation in the period from January 2000 to December 2001. OBJECTIVE-to evaluate the reulceration and reamputation rates in a cohort of diabetic patients following first ray amputation.
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