limb preservation program

The interdisciplinary limb preservation team includes Sandra Wainwright, MD, Kristen McGinness, DPM and Sasanka Jayasuriya, MD.

Limb Preservation Program Helps Patients Facing Amputation

Did you know that amputation resulting from non- healing foot ulcers is one of the most devastating outcomes of diabetes, yet up to 85 percent of these amputations are preventable? Certain cardiovascular conditions also put some people at risk for losing a limb to amputation.

Greenwich Hospital’s new Limb Preservation Program diagnoses and treats patients who are at risk for amputation. Specialists from wound care, podiatry, cardiovascular, infectious disease, orthopedics, physical medicine, rehabilitation, and behavioral and nutritional support services work together to provide coordinated care at one location.

“We are able to diagnose high-risk patients early so they receive timely treatment to help preserve threatened limbs and prevent major amputations,” said Sandra Wainwright, MD, medical director of the hospital’s Center for Hyperbaric Medicine and Wound Healing.

“Preventive measures and advanced wound care techniques are critical, given the 68 percent five-year mortality rate for people who have undergone an amputation,” said Kristen McGinness, DPM, a podiatrist.

Sasanka Jayasuriya, MD, an interventional cardiologist, said patients with poorly healing ulcers may benefit from simple offi ce or hospital procedures to improve circulation to the legs, which can promote wound healing and avoid amputation. “Patients with vascular disease also commonly have advanced heart disease. The multidisciplinary evaluation is an opportunity to screen patients for coronary artery disease that by itself could be life-threatening,”
she said.