We utilize the latest in technology, evaluating circulation with transcutaneous oximetry to assess skin oxygen levels, offering wound healing modalities such as semi-synthetic human skin (e.g. Apligraf, Dermagraft), negative pressure wound dressings (like "the V.A.C") and hyperbaric oxygen therapy. We also utilize the latest in wound dressings to maintain a moist wound environment conducive to healing. Patients are assessed by our experienced physicians at the initial visit and then a comprehensive individualized plan is created. Photo documentation is provided and patients are followed closely in the clinic until healing occurs.
An aggressive limb salvage program, in conjunction with physicians who are experts in restoring blood to the legs, offers early vascular intervention to patients with vascular compromise. Patients are evaluated with transcutaneous oximetry, and if appropriate, referred directly for magnetic resonance angiography (MRA). MRA does not require contrast dye, which is toxic to the kidneys, and does not require putting a needle directly into the arteries. The angiograms obtained in this way can be evaluated to determine whether patients are candidates for revascularization either via angioplasty or via surgery. We are then able to confirm that the procedure was successful by repeating transcutaneous oximetry. If oxygen values are still low, hyperbaric oxygen therapy may be useful.