Taking a truly interdisciplinary approach to the topic, Functional Limb Salvage is a ready reference for all clinicians and surgeons treating this patient population, including plastic, vascular, orthopedic and podiatric surgeons and their support staff.
The content of this text is focused on defining and expanding upon the importance and, more specifically, the intricacies of the multidisciplinary team approach. Although this is often touched upon or cited as an integral aspect of care, there are only sparse descriptions of the interplay of multiple team members in concert with the care of this challenging patient population.
This comprehensive text opens with definitions, demographics, epidemiology, pathophysiology and etiology of the limb salvage patient population, whether due to infection, ischemia or deformity. The multidisciplinary team itself is then outlined, from the who, when and where of the intervention to the role of the individual clinicians themselves; from vascular and plastic surgeons to podiatric and orthopedic surgeons, multiple medical specialties, and with thorough attention to the integral support staff of NPs, PAs and many others. History and assessment are then discussed as a prelude to both conservative and surgical treatments, including wound healing optimization, orthotics and prosthetics, skin grafting, amputation, bioengineered tissue and more. A final chapter on innovation and landmark publications rounds out the presentation.
Table of Contents:
Building It from Scratch: The Team Approach to Functional Diabetic Limb Salvage.- Staffing and Day to Day Management: The Nuts and Bolts of Running a Wound Care Center.- Case Management of the Complex Limb Salvage Admission.- Integrating the Inpatient Care to your Outpatient Wound Care Center: Keys to Successful Patient Management.- Diabetic Foot Ulcers by the Numbers: Epidemiology of Limb Salvage.- Unlocking the Mystery of Peripheral Neuropathy in Diabetes.- The Science and Utility of Offloading the Diabetic Foot.- Medical Management of the Limb Salvage Inpatient.- Evaluation and Examination of the Diabetic Foot.- Frailty and Mobility Degeneration in Diabetes and Diabetic Foot Ulceration.- Anesthesia for the Diabetic Limb Salvage Patient: Minimizing Risk and Maximizing Safety.- Debridement of the Diabetic Foot and Leg.- An Evidence Based Approach to Treating Osteomyelitis.- Practical Lessons Learned in Managing Diabetic Foot Infections.- Managing Soft Tissue Infection in the DiabeticFoot: Cultures, Drugs, and Source Control.- Surgical Management of Diabetic Foot Infection and Osteomyelitis.- Charcot Foot: Etiology and Diagnosis.- Charcot Foot: Conservative Management.- Charcot Foot: Surgical Management and Reconstruction.- Diagnostic Evaluation of Arterial Disease in Limb Salvage.- Arterial Disease Management in the Limb Salvage Patient: Endovascular and Open Bypass.- Venous Disease Management in the Limb Salvage Patient: Diagnostics, Compression, and Ablation.- The Science and Practicality of Tissue Products in Limb Salvage.- Atypical Wounds in the Diabetic Limb: Dermatopathology, Biopsy, and Medical Management.- Prosthetics, Orthotics and Amputation Rehabilitation.- Surgical Offloading, Tendon Balancing, and Prophylactic Surgery in Diabetic Limb Salvage.- Negative Pressure Wound Therapy.- Hyperbaric Oxygen Therapy in Diabetic Limb Salvage.- Skin Grafting.- Local Flaps for Reconstruction and Limb Salvage of the Foot and Ankle.- Free Tissue Transfer in DLS: Lessons Learned and Best Practice for Functional Salvage.- Advanced Plastic Surgical Reconstruction Options in the Lower Extremity.- Partial Foot Amputations: Technique and Outcomes.- Below Knee Amputation: Techniques to Improve Rehabilitation, Pain Management, and Function.- Complications and Revision Surgery in Complex Limb Salvage.- Establishing and Running an Amputee Support Group to Empower your Patients.- Analyzing the Population Dynamics of Limb Salvage.- Diabetic Limb Salvage Innovations: Landmark Publications and Innovations from Our Team.
About the Author :
John S. Steinberg, DPM, FACFAS, Professor, Department of Plastic Surgery, Division of Wound Healing, Georgetown University School of Medicine and MedStar Georgetown University Hospital, Washington, DC, USA
Christopher E. Attinger, MD, FACS, Professor, Department of Plastic Surgery, Division of Wound Healing, Georgetown University School of Medicine and MedStar Georgetown University Hospital, Washington, DC, USA
