The UCSF Center for Limb Preservation & Wound Care, led by vascular surgeon Michael S. Conte, M.D. and podiatric surgeon Alexander M. Reyzelman, D.P.M., the first of its kind in the Bay Area, pools the expertise of vascular surgeons, podiatrists, reconstructive microsurgeons, and other specialists to provide integrated, multidisciplinary, care for patients at high risk of foot and leg amputation, particularly diabetic patients. The Center treats patients with foot ulceration, peripheral artery disease (PAD) and those at risk for developing these conditions. The Center also coordinates care with other UCSF specialists in infectious diseases, endocrinology, cardiology, orthopedics, rehabilitation, and physical therapy. Because foot ulcers are the most common pathway leading to amputation, the team is focused on their prevention, treatment, avoidance of recurrence, and return of patients to independent walking. Read more »
Diabetes patients tend to develop vascular disease especially in the peripheral arteries of the feet and legs. Michael S. Conte, M.D., Chief of Vascular Surgery at UCSF, discusses the connection between peripheral artery disease (PAD) and diabetes with Andrew Schorr of Patient Power. Dr. Conte argues that PAD is under-diagnosed and under-treated in diabetics and often not properly treated even when identified, and that early diagnosis is the key to saving limbs from amputation. Dr. Conte discusses the various approaches to treatment for PAD and the advantages to seeking care from a multidisciplinary team of specialists.
Alexander M. Reyzelman, D.P.M., a podiatric surgeon in the UCSF Division of Vascular Surgery and co-Director, UCSF Center for Limb Preservation & Wound Care, discusses the biomechanical assessment of the diabetic foot and then, the the folowing video, the factor invovled preventing or limited the extent of amputation.