Foot wounds are late complication of diabetes, with high morbidity and mortality. In the SARS-CoV-2 pandemic, these people's lives were restricted, with psychosomatic consequences. The impossibility of early and follow-up treatment of the ulcerations has led to a high risk of amputation.

The aim was to evaluate a retrospective analysis of patients with chronic wounds who became a amputation above the ankle during the 2019-2020 COVID-19 pandemic compared to the 2018-2019 period. The data were analyzed retrospectively. The time of the amputation was taken into account, whether the amputation was primary or only a minor amputation was first

The study included 88 patients, 41 patients were amputated in 2018 and 2019 (group A) and 43 patients in 2019 to 2020 (group B). More males were found in both groups. There was a difference in the patients who had diabetes. In group A 44% had diabetes and in group B 67%. If one observes the amputations of the diabetics, in group A 47% had a minor amputation first, goup B only 40%. The remaining 60% from the pandemic period proceeded directly to major amputation, which makes the difference to the pre-pandemic. There were no significant differences in the clinical and biochemical parameters, as well as in the prevalence rate of PAVK. In group A, partial revascularization was possible in 60%, in the pandemic patients only 42%. In addition, in group A the proportion of patients who came via emergency department, significantly lower than in group B. If in group A about 7% died in the hospital course with the amputation, in group B it was about 20%

The impact of the pandemic had a negative consequent on patients with diabetes-related foot ulcers, more severe infections, more emergencies and more amputations. There were late presentations, with massive necrosis. Compared to the pre-pandemic, there were more major amputations and more deaths