limb salvage services

Foot, ankle, lower leg, and thigh defects can result from a variety of conditions that range from diabetes mellitus and peripheral vascular disease to trauma, previous surgical complications and venous stasis disease (a lack of blood flow up the leg through the veins).

Many of these wounds, especially those resulting from a chronic medical condition, can best be treated in wound care centers. These facilities use a multidisciplinary approach to treat the wound and the underlying cause. In patients who have a lower extremity wound that is not able to be fully treated in one of these specialized centers or whose wound is a result of extensive trauma, more advanced forms of reconstruction may be necessary. 

Our surgeons offer advanced forms of lower extremity reconstruction to help augment the healing of patients with a variety of conditions.

Ideal candidates for these advanced reconstructive techniques are patients who have suffered severe trauma or had complications from previous surgeries and now have exposure of their bone, vessels, nerves or deep tissues. Skin coverage of these vital structures is critical to healing and can be successfully performed through a variety of techniques including simple closure, grafting and microvascular tissue transfer. The form of reconstruction will depend on a variety of factors, such as size of the defect, location of the wound and overall state of the patient. By taking all these factors into consideration, our surgeons are able to offer the most up-to-date and optimal forms of reconstruction available based on the patient’s individual needs and goals.

It is important to note that for patients with wounds related to chronic medical conditions, successful treatment depends on management of their underlying medical conditions. If the medical cause of the open wound is not properly addressed,  reconstructive efforts are usually doomed to fail. Ideal candidates for reconstruction have; therefore, had the medical management of their underlying conditions optimized prior to reconstruction.