Assessing The Use Of Ex-Fix For Offloading In Diabetic Limb Salvage

Dong Kim, DPM, Jeffrey McAlister, DPM, and Paul J. Kim, DPM

In Conclusion

An attempt at limb salvage is a complex and challenging task for even the most skilled surgeon. There are many factors to consider when choosing the right intervention for a patient. For those considering flap reconstruction, vascular status, renal disease and adherence are the biggest factors.3 External fixation is a valuable tool in an attempt at limb salvage. It can offload, immobilize joints, allow flap and donor site observation, permit wound care, increase adherence and improve patient comfort. In the end, limb salvage is a total team effort consisting of a multidisciplinary approach striving for one common goal.

   Dr. Dong Kim is a first-year resident at INOVA Fairfax Hospital in Falls Church, Va.

Dr. McAlister is a third-year Chief Resident at INOVA Fairfax Hospital in Falls Church, Va.

   Dr. Paul J. Kim is an Associate Professor at Georgetown University Hospital in Washington, D.C. He is a Fellow of the American College of Foot and Ankle Surgeons.

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