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International Efforts to Improve Limb Salvage
David R Campbell1, Thanh Thao T Nguyen2
1Department of Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, Israel.
Clinics in Podiatric Medicine and Surgery
|October 16, 2025
Summary
This 25-year collaboration improved diabetic foot care in Vietnam through training and establishing specialized centers, significantly reducing amputation rates and creating regional hubs for diabetic limb preservation.
Area of Science:
- Global health
- Diabetic medicine
- Surgical innovation
Background:
- Diabetic foot complications present a major global health burden, causing significant morbidity and disability.
- Effective management strategies are crucial for preventing severe outcomes like amputation.
Purpose of the Study:
- To detail a 25-year collaborative effort between Beth Israel Deaconess Medical Center (BIDMC) and Vietnamese institutions.
- To highlight advancements in training, capacity-building, and the establishment of diabetic foot care centers.
Main Methods:
- Longitudinal chronicle of a multifaceted international partnership.
- Focus on surgical technique development and implementation.
- Establishment and expansion of specialized diabetic foot care services.
Main Results:
- Significant reduction in diabetic foot-related amputation rates.
- Development of advanced surgical techniques tailored for diabetic foot conditions.
- Creation of regional diabetic foot care hubs across Vietnam.
Conclusions:
- Sustained international collaboration can effectively build capacity for managing diabetic foot complications.
- The partnership has demonstrably improved patient outcomes and reduced disability.
- The established model offers a framework for global expansion of diabetic foot care initiatives.
