Original Research
Tissue sampling technique for diabetic toe amputations: a survey of current UK practice
Introduction The increase in the prevalence of diabetes mellitus and its associated complications has become a major public health issue.1,2,3 Foot-related complications affect 2–2.5% of people with diabetes, equating to a point prevalence of approximately 58,000 people in England alone.3 The management of diabetic foot disease is complex, involving input from a foot protection team…
Read MoreModern Practice of Diabetic Foot Sampling, Protocols, Pathways, Treatments and Techniques: an audit of specimen transport time from theatre to laboratory for diabetic foot tissue (MODAMP 2)
Introduction The number of amputations secondary to diabetic foot infections continues to rise in the UK, with more than 185 diabetes-related amputations being carried out per week.1 The 5-year mortality rates of patients with diabetic foot ulceration, minor or major lower limb amputations as a result of diabetic foot infections are 30.5%, 46.2% and 56.6%,…
Read MoreSurgical and rehabilitation outcomes of patients undergoing through knee amputation compared with above knee amputation
Introduction Every year more than 5,000 patients undergo a major lower limb amputation in the UK.1-3 Major lower limb amputation is a pivotal life-changing event which can result in significant physical and psychological impacts, depending on the person’s functional ability pre-amputation, the cause of their amputation, their co-morbidities and the level of amputation.4,5 Below knee…
Read MorePopliteal sciatic nerve block in the endovascular management of critical limb ischaemia: a UK single-centre experience
Introduction When performing endovascular treatments in patients with critical limb threatening ischaemia (CLTI), providing safe and effective pain management can be challenging, particularly with the increasing length and complexity of such procedures. The patient often needs to lie flat for a prolonged period and needs to be still through critical parts of the procedure. In…
Read MoreAmbulatory vascular clinics provide a safe and effective pathway for management of chronic limb threatening ischaemia
Introduction The management of chronic limb threatening ischaemia (CLTI) has changed rapidly over recent years, both due to the newer technologies in the realm of endovascular surgery1 and the current model of centralising vascular services.2 The outcomes of lower limb revascularisation, however, remain fairly poor, with a recent randomised controlled trial showing a 33–37% mortality…
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