Affordable Access

Infection in the ischemic lower extremity.

Authors
  • Fry, D E
  • Marek, J M
  • Langsfeld, M
Type
Published Article
Journal
The Surgical clinics of North America
Publication Date
Jun 01, 1998
Volume
78
Issue
3
Pages
465–479
Identifiers
PMID: 9673657
Source
Medline
License
Unknown

Abstract

Infections in the lower extremity of the patient with ischemia can cover a broad spectrum of different diseases. An understanding of the particular pathophysiologic circumstances in the ischemic extremity can be of great value in understanding the natural history of the disease and the potential complications that may occur. Optimizing blood flow to the extremity by using revascularization techniques is important for any patient with an ischemic lower extremity complicated by infection or ulceration. Infections in the ischemic lower extremity require local débridement and systemic antibiotics. For severe infections, such as necrotizing fasciitis or the fetid foot, more extensive local débridement and even amputation may be required. Fundamentals of managing prosthetic graft infection require removing the infected prosthesis, local wound débridement, and systemic antibiotics while attempting to preserve viability of the lower extremity using autogenous graft reconstruction.

Report this publication

Statistics

Seen <100 times