Negative pressure wound therapy (NPWT) is a method of soft-tissue injury treatment in which an impervious dressing is applied...
Below Knee Amputation
Evolution of Below Knee Amputation
Necrotizing fasciitis of the lower extremity is often secondary to rapid progression of a prior diabetic foot ulcer. Poor patient healing capabilities when combined with impaired sensation and high levels of blood glucose create an environment ripe for overwhelming infection. Necrotizing soft tissue infections spread rapidly and without pause, and can lead to rapid onset of septic shock, hemodynamic collapse and death. Initial treatment is removal of infection which, in the case of lower extremity infections, is amputation. For progressive foot infections, below-knee, trans-tibial amputations allow for both source control, and for minimization of eventual oxygen consumption increase