Functional Limb Salvage. The Multidisciplinary Team Approach

1. Building It from Scratch: The Team Approach to Functional Diabetic Limb Salvage
2. Staffing and Day-to-Day Management: The Nuts and Bolts of Running a Wound Care Center
3. Case Management of the Complex Limb Salvage Admission
4. Integrating Inpatient Care to Your Outpatient Wound Care Center: Key to Successful Patient Management
5. Diabetic Foot Ulcers by the Numbers: Epidemiology of Limb Salvage
6. Unlocking the Mystery of Peripheral Neuropathy in Diabetes
7. The Science and Utility of Offloading the Diabetic Foot
8. Medical Management of the Limb Salvage Inpatient
9. Evaluation and Examination of the Diabetic Foot
10. Frailty and Mobility Degeneration in Diabetes and Diabetic Foot Ulceration
11. Anesthesia for the DLS Patient: Minimizing Risk and Maximizing Safety
12. Debridement of the Diabetic Foot and Leg
13. An Evidence-Based Approach to Treating Osteomyelitis
14. Practical Lessons Learned in Managing Diabetic Foot Infections
15. Managing Soft Tissue Infection in the Diabetic Foot: Cultures, Drugs, and Source Control
16. Surgical Management of Diabetic Foot Infection and Osteomyelitis
17. Charcot Foot Syndrome: Aetiology and Diagnosis
18. Charcot Foot: Conservative Management
19. Charcot Foot: Surgical Management and Reconstruction
20. Diagnostic Evaluation of Arterial Disease in Limb Salvage
21. Arterial Disease Management in the Limb Salvage Patient: Endovascular and Open Bypass
22. Venous Disease Management in the Limb Salvage Patient: Diagnostics, Compression, and Ablation
23. Science and Practicality of Tissue Products in Limb Salvage
24. Limb Wounds of Dermatologic Disease: Dermatopathology, Biopsy, and Medical Management
25. Prosthetics, Orthotics, and Amputation Rehabilitation
26. Surgical Offloading, Tendon Balancing, and Prophylactic Surgery in Diabetic Limb Salvage
27. Negative Pressure Wound Therapy
28. Hyperbaric Oxygen Therapy in Functional Limb Salvage
29. Skin Grafting
30. Local Flaps for Reconstruction and Limb Salvage of the Foot and Ankle
31. Free Tissue Transfer in Diabetic Limb Salvage: Lessons Learned and Best Practices for Functional Salvage
32. Advanced Plastic Surgical Reconstruction Options in the Lower Extremity
33. Partial Foot Amputations: Technique and Outcomes
34. Below Knee Amputation: Techniques to Improve Rehabilitation, Pain Management, and Function
35. Complications and Revision Surgery in Complex Limb Salvage
36. Establishing and Running an Amputee Support Group to Empower Your Patients
37. Analyzing the Population Dynamics of Limb Salvage
38. DLS Innovations: Landmark Publications and Innovations from Our Tea

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.