Temple Limb Salvage Center

Most amputations can be prevented. That is our goal.

The Temple Limb Salvage Center specializes in treating patients with peripheral vascular problems or ischemia who are at high risk of amputation.

Most patients come to us after initial wound management by primary care physicians, podiatrists, or specialists. Some have received this care in wound healing centers while others come from an emergency department. The common denominator in these high-risk patients is a worsening, nonhealing, and/or infected wound.



Although we focus on patients with serious lower limb problems due to diabetes or peripheral arterial disease (PAD), our specialists also see many other types of patients with extremity wounds or ischemia risks, including those with: pressure sores, bone infections, poor circulation (e.g., Raynaud's phenomenon), leg swelling (edema), radiation injury, surgical wounds, post-oncology or post-injury arterial or venous damage.

The Limb Salvage Center is the region's first tertiary-level facility solely for preventing lower extremity amputations in patients with diabetes or other vascular pathologies. Our specialists provide limb-saving procedures and the newest vascular rescue therapies for patients with complex wounds or severe ischemia.

A Multidisciplinary Team

When patients come to the Limb Salvage Center, they undergo immediate evaluation and receive priority access to a full array of proven care options. Patients receive all testing and care in one convenient and comfortable location at Temple University Hospital. In just one or two visits, they will be evaluated by select members of a multidisciplinary team, including:

  • Vascular surgeons
  • Podiatrists
  • Cardiologists
  • Diabetologists (physicians who specialize in diabetes)
  • Plastic surgeons
  • Orthopaedic surgeons
  • Physical medicine and rehabilitation specialists
  • Nephrologists
  • Interventional radiologists
  • Infectious disease experts
  • Neurologists

There are no referrals and no delays between seeing each specialist. Our on-site services include one of the largest ICAVL-accredited vascular laboratories in the Delaware Valley, a radiology suite, blood lab, physical therapy studios and registration services.

From cases affecting only the foot to more complex situations involving the arteries and heart, the physicians at the Limb Salvage Center consider all of the patient's needs as a coordinated team. Our medical team works to develop a prioritized treatment plan for every patient, usually by the end of the first or second appointment.

We offer an optimal array of services to save failing limbs

Our team provides advanced diagnostic tools and treatments, including:

Evaluation

In addition to routine wound assessment, such as staging/grading of depth, size, infection and ischemia, evaluation of history and risk factors, x-rays and ultrasound, we offer:

  • Hemodynamic and anatomic vascular assessments
  • Functional studies in the Vascular Laboratory
  • Advanced imaging (e.g., CT angiography, MRI, radionuclide scan) of tissue and bone
  • Neurological and metabolic assessments
  • Biomechanical and podiatric tests including gait analysis
  • Microbiological analyses

Advanced Therapies

In addition to standard chronic and acute wound care options such as dressing, debridement, toe amputation, incision, compression, vacuum-assisted closure and hyperbaric oxygen therapy (off-site), we offer:

  • Minimally invasive vein repair with balloon angioplasty*, laser and stents
  • Traditional open surgical (bypass) procedures
  • Thrombolytics, antiplatelet therapy, and other medical therapies for circulation
  • Vein repair procedures for PAD and other specific vascular conditions
  • Hybrid stenting-plus-bypass procedures
  • Foot-sparing partial amputations
  • Reconstruction of Charcot neuroarthropathy and other foot/ankle deformations
  • Grafting including use of bioengineered skin and alternative tissues
  • Antibiotic therapies based on culture results and patient factors
  • Investigational therapies, including:
    • Bone marrow-derived neoangiogenesis (new blood vessel growth)
    • Newer therapeutic devices and instruments for limb salvage

*During balloon angioplasty, the surgeon uses tiny inflatable balloons to widen constricted blood vessels and improve circulation
This procedure extracts the patient's bone marrow cells and implants them in the leg where they form new blood vessels

Follow-up

In close coordination with referring primary physicians, podiatrists and other providers, our clinicians and staff remain involved in the follow-up and rehabilitation needed to ensure healing and avoid recurrences of limb-threatening ischemia. The Center remains engaged in:

  • Post-procedural assessments
  • Disease management and patient education services (diabetes, PAD)
  • Medical and nutritional management
  • Physical therapy and rehabilitation medicine
  • Risk reduction with shoe modification, foot protection and off-loading (bracing)

To schedule an appointment with a Temple vascular surgeon, click here or call 1-800-TEMPLE-MED (1-800-836-7536).