The present report is based on 281 operations performed on the lower extremities of patients with diabetes mellitus and covers a seven year period ending Dec. 31, 1929. See figure 1. In order to standardize as many factors as possible, patients operated on by other members of the staff and a large number treated without operation have not been included.
TREATMENT OF THE PATIENT
Medically, these patients have been taken care of by Dr. E. P. Joslin and his associates Drs. H. F. Root, P. White and W. Curtis, or by Dr. F. G. Brigham, his associate Dr. W. Stevens and his former associate Dr. R. R. Wheeler. The patients have remained, throughout, under the direct care of the internist, who has assumed responsibility for all medical problems that arose. It has been his privilege to question the surgical progress of the patient, if response to diabetic treatment was other