The Limb Preservation Center is a unique clinical setting dedicated to preserving the function of the lower extremities, through a comprehensive preventative program, care of diabetic foot issues, and advanced complex wound healing modalities for the ambulatory and/or diabetic patient. Its primary mission is to make a dramatic impact on reducing the prevalence of lower extremity amputations in the North Texas community.
Diabetes mellitus is diagnosed once every 17 seconds worldwide. Up to 70% of lower extremity amputations are associated with diabetes. Every 20 seconds, somewhere in the world, a lower extremity is amputated in a patient with diabetes. With as few as 14% of primary care physicians performing sensory or vascular exams on their diabetic patients, this center provides a preventative comprehensive approach to the patient with diabetes with the goal of preventing diabetic foot ulcers which globally has a 20% chance of leading to a lower extremity amputation.
Comprehensive diabetic foot examinations are provided to diabetic patients who are under the collaborative diabetes management care of a primary care physician. After a complete medical history taking, physical exam and a review of recent Hemoglobin A1c are done, a risk classification is established following the guidelines from the International Working Group on the Diabetic Foot (IWGDF).
Once a diabetic ulcer heals, there is a 48% chance of recurrence within 12 months. The Center specializes in the manufacturing of custom-made full-length diabetic functional orthotics in lieu of the extra-depth shoes with diabetic inserts to reduce this recurrence rate. These hybrid diabetic orthotics provide accommodative shear reduction found in traditional diabetic inserts plus correct functional biomechanical abnormalities found in custom orthotics, thus reducing risks for surgery and/or amputation.
As part of the comprehensive approach, the Limb Preservation Center has an outpatient registered dietitian available to help our patients manage their diabetes.
As the Center has a podiatrist on its medical staff, regular foot and ankle issues for the patient with diabetes are also part of our comprehensive approach. These can include, but are not limited to, foot pain, heel pain, ankle pain, foot and ankle injuries, ingrown toenails, neuromas.
The Center has a full imaging suite including lab, x-rays, CT scan, vascular lab, and diagnostic musculoskeletal sonography available on-site.
The Limb Preservation Center specializes in working with patients who have developed wounds that have not healed within several weeks – a complicated failure of the skin organ system. The goal is to promote wound healing and ultimately restore the quality of life with a functional limb. Physicians can refer patients with diabetic foot or wound complications for:
Diabetes is a cardiovascular disease and can lead to a 2-4 times increase in atherosclerosis (hardening of the arteries). Peripheral arterial disease (PAD) has a 64% relative 5-year mortality rate, the 3rd high rate behind pancreatic cancer and lung cancer.
Vascular surgeons evaluate patients and can determine if and what level of vascular interventions are needed. The Center has a complete complement of on-site imaging services including non-invasive vascular testing, CT angiography, therapies to improve circulation, and edema reduction. The vascular surgeons are highly trained and well versed in both endovascular interventions and open peripheral bypass graft surgery through The Heart Hospital Baylor Plano.
Meet the Physician »
Charles Fisher struggled with congestive heart failure and cellulitis, a serious skin infection, on his lower legs. At the Center for Advanced Cardiovascular Care (CACC), Charles found help for both of these conditions.
*The Heart Valve Center of Texas, Thoracic Aortic Disease Center, Vascular & Diabetic Foot Center, and Outpatient Imaging see patients in Suite 300. All other centers see patients in Suite 350.