Can Angiosome-Based Revascularization Have An Impact In Limb Salvage?

Desmond Bell, DPM, CWS, FACCWS | 32,945 reads | 2 comments | 02/28/2012

This author details the case of a 71-year-old patient who had reperfusion procedures for occlusions at the dorsalis pedis and posterior tibial arteries, and subsequently had transmetatarsal and below-knee amputations.

Can Walking Sensors Help Predict The Outcome Of Diabetic Limb Salvage Surgery?

David G. Armstrong DPM MD PhD | 3,012 reads | 0 comments | 01/25/2010

In the past, surgery designed to heal wounds or reduce the risk for development of wounds in people with diabetes has been haphazard. A recently published pilot study in Gait & Posture suggests strongly that we can work toward predicting success preoperatively.1 See

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

Dong Kim, DPM, Jeffrey McAlister, DPM, and Paul J. Kim, DPM | 10,747 reads | 0 comments | 01/30/2012

In lieu of the advancements in wound healing and innovations in surgical technique, limb salvage in the patient with diabetes remains a costly and complex endeavor.

Is Limb Salvage Practical In Patients With Diabetes And Renal Failure?

By Jessica Kaylor, BA, and John S. Steinberg, DPM | 21,333 reads | 1 comments | 03/03/2007

      Although the patient with diabetes and renal failure presents serious challenges to the limb salvage team, there is evidence and argument to support aggressive treatment and attempted limb salvage in a multidisciplinary clinical environment. An abundance of medical literature discusses the separate wound care challenges posed by diabetes and renal failure.       Less work has been done, however, to identify proper treatment and salvage techniques for patients who suffer from both maladies.

Minimal Incision Surgery: Can It Have An Impact In Diabetic Limb Salvage?

Thomas S. Roukis, DPM, PhD, FACFAS, and Borys Markewych, DPM, FAAFAS | 21,006 reads | 0 comments | 02/23/2009

For patients with diabetes and rigid forefoot deformities, traditional surgical procedures and prolonged offloading periods have a high risk of potential complications. Accordingly, these authors offer perspectives and step-by-step pearls on the use of percutaneous surgery and minimal incision surgery procedures.

Making Room For Nerve Decompression In The Diabetic Limb Salvage Armamentarium

hmpadmin | 2,625 reads | 0 comments | 07/22/2010

I read with interest the recent article on diabetic limb salvage (“How To Form A Diabetic Limb Salvage Team” in the June 2010 issue). Over the last 14 years, I have been significantly involved with wound care and limb salvage in the diabetic patient population. In 1998, I was asked to join the staff of a multidisciplinary wound center associated with two local hospitals as a podiatric surgeon and wound specialist.

Can We Achieve The ‘Equality’ In Surgery That We Have Achieved In Wound Care And Diabetic Limb Salvage?

Allen Jacobs DPM FACFAS | 4,877 reads | 3 comments | 10/21/2010

In the last several months, I have had the opportunity to attend four major wound care conferences. Standing in the back of the room at the Diabetic Limb Salvage conference, world famous researchers and academicians Peter Sheehan, MD, and Andrew Boulton, MD, commented to me how wonderful this meeting and others such as the American Professional Wound Care Association (APWCA) meeting had become in educating medical professionals on limb salvage.

Study: PVD Patients With TMA At Elevated Risk For Post-Op Limb Loss

Brian McCurdy, Managing Editor | 3,203 reads | 1 comments | 03/21/2017

Keys To Comprehensive Care For A Patient With Critical Limb Ischemia

Desmond Bell, DPM, CWS | 2,552 reads | 0 comments | 08/30/2016

Emphasizing multidisciplinary care, this author focuses on getting a 56-year-old patient ambulatory following a transmetatarsal amputation related to critical limb ischemia.

Salvaging A Limb With Serial Debridement, STSGs And NPWT

Brett Chatman, DPM, Tammer Elmarsafi, DPM, and John S. Steinberg, DPM, FACFAS | 3,789 reads | 0 comments | 06/30/2015

These authors discuss how serial debridement, split thickness skin grafts and negative pressure wound therapy salvaged the limb of a 71-year-old patient with diabetes who presented with gas gangrene.

Gas gangrene of the lower extremity is one surgical emergency that normally requires extensive debridement and frequently results in lower extremity amputation. The physician must take into account the advantages of serial debridement with the use of split thickness skin grafts (STSG) and negative pressure wound therapy (NPWT) to salvage limbs.