Abstract
A rare case of grade IV frostbite is presented resulting in bilateral below knee amputations. This case highlights the importance of early versus late amputation as well as the importance of close collaboration between the rehabilitation, surgical, psychosocial, and public health disciplines in this rare and challenging problem that still may be encountered in the United Kingdom.
Highlights
Delayed amputation had a positive effect on psychological acceptance of bilateral amputations by the patient as well as preparation for rehabilitation
One of the main issues surrounding this problem is the justification of restorative efforts due to a high failure rate
Frostbite can be graded into stages I to IV depending on tissue depth involvement
Summary
Delayed amputation had a positive effect on psychological acceptance of bilateral amputations by the patient as well as preparation for rehabilitation. The predisposing factors include diabetic foot sepsis, atherosclerosis, frostbite, burns, trauma, calciphylaxis-related gangrene, suicide attempt, sensory loss and calf-wound healing failure after coronary revascularisation [1, 2].
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