Abstract
Objectives: Management of critical limb ischemia（CLI）requires a multidisciplinary approach.Patients and methods: Sixty-eight patients with leg ulcers and ischemia were treated at our foot care clinic. We examined the association among diabetes, revascularization, avoidance of major amputation, and wound healing.Results: Diabetes was observed in 57 patients. Revascularization was performed in 31 patients（revascularization group）, and contraindicated in 14 patients（non-revascularization group）. The remaining 23 patients received only medical treatment. Major amputation was avoided in 27/31 patients（87%）in the revascularization group, significantly more than the 6/14 patients（42%）of the non-revascularization group. Wound healing was achieved in 26/31 patients（84%）in the revascularization group, significantly more than the 3/14 patients（21%）of the non-revascularization group. Conclusion: Correct blood flow assessment, effective revascularization, and plastic surgery procedures are necessary for successful treatment of CLI, and major amputation can be avoided by a multidisciplinary team approach.
