Toe and flow: Essential components and structure of the amputation prevention team

Lee C. Rogers, George Andros, Joseph Caporusso, Lawrence B. Harkless, Joseph L. Mills, David G. Armstrong

Research output: Contribution to journalReview article

62 Scopus citations

Abstract

At the end of an anatomic peninsula, the foot in diabetes is prone to acute and chronic complications involving neuropathy, vasculopathy, and infection. Effective management requires an interdisciplinary effort focusing on this triad. In this article, we describe the key factors leading to foot complications and the critical skill sets required to assemble a team to care for them. Although specific attention is given to a conjoined model involving podiatry and vascular surgery, the "toe and flow" model, we further outline three separate models of carebasic, intermediate, and center of excellencethat can be implemented in the developed and developing world.

Original languageEnglish (US)
Pages (from-to)23S-27S
JournalJournal of vascular surgery
Volume52
Issue number3 SUPPL.
DOIs
StatePublished - Sep 2010

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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