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16405 Sand Canyon Ave.

Suite 270

Irvine, CA 92618

18800 Main St.

Suite 107

Huntington Beach, CA 92648

361 Hospital Rd.

Suite 227

Newport Beach, CA 92663

1310 W. Stewart Dr.

Suite 401

Orange, CA 92868

(949) 651-1202 - Office

(949) 552-9493 - Fax

Edited Sept. 29, 2019

Michael Coyer, DPM, AACFAS
Orange County Foot & Ankle Surgeon
Michael Coyer, DPM - Orange County Foot and Ankle Surgeon

Diabetic Limb Salvage - Huntington Beach Podiatrist / Foot and Ankle Surgeon

Diabetic Limb Salvage - Huntington Beach

Photo showing diabetic foot ulcer in a neuropathic patient. Wounds such as these worsen over time due to the patient's loss of nerve sensation. Huntington Beach.

The foot and ankle surgeon is a key player in the diabetic limb salvage effort, assuming the difficult task of preserving the lower extremities.

 

Our Huntington Beach Foot and Surgeon / Huntington Beach Podiatrist is an expert in various conservative and surgical techniques, along with preventing and managing possible complications.

Diabetic Limb Salvage in Huntington Beach

Prevention of diabetic foot disease through glycemic control, periodic foot examinations, callus debridement, shoe-gear recommendations, deformity prevention and accommodation, and patient education is the best line of defense against foot amputation in Huntington Beach. However, surgical intervention frequently becomes necessary to eradicate infection, remove necrotic tissue, close chronic wounds, eliminate structural causes of tissue breakdown, and reconstruct deformities. Our Huntington Beach Podiatrist / Foot and Ankle Surgeon can help with Diabetic Limb Salvage in Huntington Beach at our Irvine, CA or Huntington Beach, CA offices.

 

Our Huntington Beach Foot and Ankle Surgeon is experienced in diabetic limb salvage and surgery. The foot and ankle surgeon is one of the foremost players in the limb salvage effort, assuming the difficult task of preserving extremities through various surgical techniques and preventing and managing complications postoperatively. Providing each patient in Huntington Beach with a functional, biomechanically sound, and shoeable foot that is free of infection, while minimizing the risk of tissue breakdown and recurrent infection, is integral to a successfully salvaged limb.

 

Efficiently achieving these objectives decreases the threat of a major lower extremity amputation, prolongs survival, promotes independence, and maintains the patient's quality of life, as will be explained in detail below. The patient must understand the continued risk of tissue breakdown, healing complications, and recurrent infections that could require additional hospitalizations, surgical procedures, and perhaps a major amputation.

 

Advanced wound closure techniques, deformity reconstruction, or subsequent pedal amputations may be necessary to achieve a successful outcome in diabetic limb salvage in Huntington Beach. Four pertinent issues must be addressed with the limb-salvage candidate prior to surgical intervention:

  1. Definition of a realistic expectation, which corresponds to the average functional outcome in medically similar patients with the same amputation level. 

  2. Comparison of the functional outcomes of a salvaged limb versus an amputation and fitting of a prosthesis.

  3. Costs, including resource consumption, time off from work, and the patient’s ability to afford multiple surgeries.

  4. Risks, particularly risks of recurrent infection and the possible need for further surgery when limb salvage is chosen.

 

Patients requiring surgical intervention for diabetic limb problems in Huntington Beach will demonstrate particular findings upon clinical examination, including a wounds failing to heel with local wound care, infected ulcer, gangrene, deep space abscess, deformity, or suspected osteomyelitis. Each diagnosis warrants a different route of limb salvage, which may include:

  • Incision and drainage of an abscess.

  • Debridement of infected and necrotic soft tissue and bone.

  • Resection of prominent osseous structures causing skin breakdown.

  • Amputation of an ischemic or infected aspect of the foot.

  • Wound reconstruction utilizing skin grafts or wound vac. therapy.

  • Deformity reconstruction.

 

Although each relates to a particular indication, the goal remains the same:

  • Maximizing patient function.

  • Providing a stable infection-free foot.

  • Minimizing the risk of tissue breakdown.

  • Avoiding healing complications.

  • Avoidance of reinfection and the need for a proximal amputation.

 

Diabetic limb salvage surgery in Huntington Beach employs various surgical techniques designed to prevent major lower extremity amputation. Our Huntington Beach Foot and Ankle Surgeon / Huntington Beach Podiatrist and each patient must be prepared to spend a considerable amount of time and effort to achieve a satisfactory result. 

Please contact our office in Irvine or Huntington Beach in Orange County, CA to make an appointment with our foot and ankle surgeon / podiatrist (Dr. Coyer), who will provide comprehensive care for all of your needs with Diabetic Limb Salvage in Huntington Beach.