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BKA was performed if 1) sepsis extended beyond the fore-foot and below the mid-tibia level and 2) a palpable popliteal pulse was present.
Physical exam of the right leg demonstrated a normal femoral pulse, while the popliteal pulse was absent with diminished posterior tibial and dorsalis pedis pulses.
Clinical parameters that are used are the presence of a popliteal pulse, which is generally regarded as the most important, the extent of gangrene on the extremity, i.e.