A 63-year-old man with type 2 diabetes presented with critical limb ischemia affecting the forefoot. Successful endovascular revascularization (angioplasty) restored adequate perfusion, allowing limb-salvage surgery instead of a major lower-limb amputation.

A Lisfranc amputation was performed, removing the toes and metatarsals while preserving the tarsal bones. Minor postoperative wound-healing delays occurred but resolved with local wound care over the following 2 months.

The surgical site healed successfully, preserving a functional, weight-bearing foot. The patient was fitted with a custom forefoot prosthetic filler and specialized therapeutic footwear, enabling him to return to work. This case illustrates how timely revascularization combined with a Lisfranc amputation can preserve limb function and restore mobility while avoiding a higher-level amputation.