The multidisciplinary approach to limb salvage.
There is considerable morbidity and mortality associated with ulcerations of the lower limbs in patients with diabetes as well as non-diabetic patients. The role of the primary care physician and podiatrist in the evaluation, diagnosis, and management of lower extremity wounds is critical. Careful assessment and management of vascular disease by vascular surgeons and interventionalists, biomechanical foot abnormalities by the podiatrist, wound coverage by the plastic surgeons and aggressive treatment of infections and metabolic derangements by the physicians are required. The multidisciplinary approach provides a comprehensive treatment protocol and significantly increases the chances of successfully healing the ulcer and prevents recurrence. It also provides for increased academic output through publications, participation in clinical trials and educational venues.
Sumpio
B E
BE
Centers for Vascular Disease and Diabetic Limb Preservation, Yale University School of Medicine, New Haven, CT 96510, USA. bauer.sumpio@yale.edu
Aruny
J
J
Blume
P A
PA
D016523:Foot Ulcer / Q000601:surgery; D006801:Humans; D033183:Interdisciplinary Communication; D007871:Leg Ulcer / Q000601:surgery*; D023821:Limb Salvage / Q000379:methods*; D010348:Patient Care Team