Three years progress chronic limb-threatening ischemia case with simultaneous surgery

Area of Science:

• Vascular Surgery
• Podiatric Medicine
• Wound Healing

Background:

• Chronic limb-threatening ischemia (CLTI) presents complex challenges, including foot ulcers and deformities that often recur after initial treatment.
• Recurrence is linked to factors like ischemia, foot deformity, and challenges in surgical management for elderly patients.

Purpose of the Study:

• To evaluate the long-term effectiveness of simultaneous surgical correction for CLTI, focusing on ulcer recurrence and functional outcomes.
• To assess the utility of combined endovascular treatment, toe amputation, and hallux valgus correction in managing CLTI.

Main Methods:

• A case study of an 80-year-old male with CLTI, presenting with a foot ulcer and arterial stenosis.
• Treatment involved endovascular intervention to improve blood flow, followed by simultaneous correction of foot deformity (hallux valgus) and hallux amputation.
• Post-treatment management included the use of a foot orthosis.

Main Results:

• The patient experienced successful ulcer healing and deformity correction.
• Three-year follow-up showed no recurrence of the foot ulcer, with the patient maintaining independent daily activities.
• The simultaneous surgical approach proved effective in preventing long-term recurrence.

Conclusions:

• Simultaneous surgical intervention is a viable and effective strategy for reducing ulcer recurrence in patients with CLTI.
• This combined approach can improve patient outcomes and quality of life by addressing both ischemia and structural foot problems concurrently.