Limb Salvage Surgery | Saving | MedStar Health

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A man with a bandaged leg sits on the sofa in his home.

For people with diabetes, wounds may not heal normally due to nerve damage and poor blood circulation. As a result, diabetic foot ulcers can cause long-lasting effects like tissue damage, infection, or even amputation. Walking around on an injured foot can also lead to bone fracture and foot deformities such as Charcot foot and midfoot collapse.

Treatment of diabetic foot issues may include orthotics (special shoes or braces) or surgical options. Limb-saving surgery makes it possible to treat the most serious cases by reconstructing a functional limb. The goal of treatment is to prevent amputation and also preserve limb function so you can keep moving and doing the things you enjoy.

Similarly, people with peripheral artery disease (PAD) have reduced blood flow to their limbs, especially the legs. This is caused by atherosclerosis, a narrowing of the arteries caused by fatty deposits called plaque. Over time, this can progress to critical limb ischemia (CLI), which can cause severe leg or foot pain, slow-healing sores or even gangrene. Limb salvage is a grouping of treatments to avoid amputation.

The experts in our Vascular and Endovascular Program offer the most current minimally invasive treatments for limb salvage. Our team’s expertise means we can save patients’ feet and legs when traditional therapies fail.

What types of limb salvage treatments are available?

We offer a number of treatment options to improve blood flow and reduce the risk of amputation, including:

A surgical team performs a limb salvage surgery at MedStar Washington Hospital Center.
  • Angioplasty, a procedure to push plaque blockages against the walls of an artery
  • Atherectomy, a procedure to cut plaque out of a narrowed artery
  • Stenting, which involves implanting a small, expandable tube called a stent in the narrowed artery to help keep it open and allow blood to flow
  • Bypass, using a vein or synthetic tube to bypass the area of blockage and carry blood to the area of need

Planning and recovery

Planning

At MedStar Health, our diabetic limb specialists offer the most advanced treatment options for people who suffer from these diabetes-related foot problems. Limb-saving surgery is a complex procedure that may involve bone reconstruction, tendon transfer, and soft tissue reconstruction. We have expertise in Charcot foot reconstruction, as well as external fixation, a technique that uses advanced computer technology to assist surgeons during the reconstruction procedure.

We work together with the specialists you need, including wound care specialists, vascular and plastic surgeons, foot and ankle surgeons, and your endocrinologist to create a treatment plan that will manage your condition most effectively. Our team approach gives you access to a full spectrum of diabetic wound services including:

  • Debridement is the medical removal of damaged or infected tissue to improve the healing ability of remaining tissue.
  • Diabetic shoe service evaluates you for specialized, prescription footwear designed to reduce the risk of wounds or injuries as a result of diabetic neuropathy (nerve damage).
  • Gait evaluation analyzes how you stand or walk to detect areas of pressure and potential ulceration.
  • Hyperbaric oxygen therapy (HBOT) delivers oxygen to the wound by breathing 100 percent oxygen in a special chamber, increasing blood flow to affected areas to heal your wounds faster.
  • Prosthetic devices improve mobility with an artificial limb in cases when an arm or other extremity is amputated or lost.
  • Total contact casting involves fitting a non-removable cast to protect the affected limb.

Recovery after limb-saving surgery

Recovery from diabetic limb salvage surgery may take some time. You will need to stay off your feet immediately after surgery. Then, you will likely need to wear special braces and shoes to cushion your feet as they continue to heal. We may also recommend physical therapy to help you regain strength in your feet. Your foot and ankle surgeon will discuss the specific details of your recovery with you before your procedure.

Conditions

Leg and foot ulcers

Open sores that are long-lasting, keep returning, and are resistant to treatment.

Peripheral artery disease (PAD)

Peripheral artery disease (PAD) occurs when blood flow to the arms and legs is reduced due to narrowed or blocked arteries.

Tests

Angiogram (Angiography)

An angiogram is a special X-ray taken as a special dye is injected through a thin, flexible tube called a catheter to detect blockages or aneurysms in blood vessels.

Arterial duplex ultrasound for arms and legs

Arterial duplex ultrasound uses Doppler and traditional ultrasound to assess blood flow in the arteries of your arms and legs.

Pulse volume recording

Pulse volume recording tests are used to evaluate blood flow through the arteries in your arms or legs.

Our providers

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Frequently asked questions

Our locations

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MedStar Health: Plastic Surgery at MedStar Georgetown University Hospital

3800 Reservoir Road NW,
BLES Building
1st. Floor
Washington, D.C., 20007

866-990-5515

MedStar Health: Podiatric Surgery at MedStar Washington Hospital Center

106 Irving St. NW
POB North
Ste. 3400
Washington, D.C., 20010

MedStar Union Memorial Hospital

201 E. University Pkwy.
Baltimore, MD 21218

MedStar Health: Medical Center at Mitchellville

12158 Central Ave.
Mitchellville, MD 20721

Additional information

Diabetic limb salvage conference

Highly regarded as one of the world’s finest limb salvage events, the Diabetic Limb Salvage conference brings together the most eminent lower limb specialists for an unforgettable meeting. The Diabetic Limb Salvage conference equips each member of the healthcare team with the education and resources needed to heal wounds and prevent amputations.

Register Here

Vascular and endovascular program

Partner with a recognized leader in offering care ranging from straightforward vascular disease to the most complex vascular disorders.

Learn More

Related services

Angioplasty


Atherectomy


Emergency Medicine


Pharmacy


Primary Care


Stenting


Vascular and Endovascular Program