Open AccessLimb salvage using advanced technologies: a case report
Author(s) -
Frykberg Robert G,
O'Connor Rachel M,
Tallis Arthur,
Tierney Edward
Publication year - 2015
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.12050
Subject(s) - medicine , forefoot , amputation , gangrene , wound care , surgery , ankle , chronic wound , sepsis , negative pressure wound therapy , wound healing , complication , alternative medicine , pathology
Patients with severe acute and chronic lower extremity wounds often present a significant challenge in terms of limb salvage. In addition to control of infection, assuring adequate perfusion and providing standard wound care, advanced modalities are often required to facilitate final wound closure. We herein present a case study on a diabetic patient with gangrene and necrotising soft‐tissue infection who underwent a forefoot pedal amputation to control the sepsis. Despite his non invasive vascular studies demonstrating poor healing potential at this level, he was not deemed suitable for revascularisation by our vascular surgeons and ankle‐level amputation was recommended. Nonetheless, over a 5‐month period using multiple advanced wound care therapies, wound closure was ultimately achieved.