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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...

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Related Experiment Video

Updated: Jun 27, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

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Midfoot Amputations as Adjuncts to Limb Preservation.

Elizabeth A Sanders1

  • 1Assistant Professor of Podiatric Surgery, Boston University School of Medicine, Boston, MA.

Annals of Vascular Surgery
|April 11, 2024
PubMed
Summary

Midfoot amputations offer limb preservation for various conditions, avoiding major lower extremity amputation. While challenges exist, perioperative care and multidisciplinary approaches optimize outcomes for limb salvage.

Area of Science:

  • Orthopedic Surgery
  • Vascular Surgery
  • Podiatric Medicine

Background:

  • Midfoot amputations are crucial for limb salvage in conditions like diabetic ulcers, critical limb ischemia, and trauma.
  • These procedures aim to preserve limb function and avoid more extensive lower extremity amputations.

Purpose of the Study:

  • To review the viability and considerations of midfoot amputations for limb preservation.
  • To highlight the benefits and limitations of different midfoot amputation levels.

Main Methods:

  • Review of existing literature and clinical practices regarding midfoot amputations.
  • Analysis of factors influencing the choice of amputation level.

Main Results:

  • Midfoot amputations are effective in preserving limbs and function, mitigating the need for major amputations.

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  • Potential limitations include wound healing issues and contractures, often manageable with perioperative strategies.
  • Conclusions:

    • Midfoot amputation is a viable limb-sparing strategy across diverse etiologies.
    • Level selection is multifactorial, emphasizing vascular status, tissue loss, functional preservation, and surgeon expertise.
    • A multidisciplinary approach is essential for successful limb salvage via midfoot amputation.