Wound treatment strategy based on multidisciplinary team approach for patients with critical limb ischemia

Abstract

Critical limb ischemia is a richly diverse, complex pathology in which peripheral tissues cause necrosis and ischemia due to arterial occlusion and stenosis. Therefore, multidisciplinary treatment is necessary. In 2016, with the aim of promoting multidisciplinary care between clinical departments in Japan, a new medical system, the Podiatric Cooperation System, was established by the government. Early intervention for dialysis patients improves their status. As dialysis patients undergo dialysis at the clinic three times a week, early detection and intervention are possible. In dialysis clinics, a system for early CLI detection by blood flow assessment has been initiated. In the future, early cooperation between orthopedic surgery and rehabilitation departments is desired to preserve gait function and prevent sarcopenia.