High-risk wounds, as well as lower extremity vascular and orthopaedic problems, are dealt with by a multidisciplinary "limb salvage" team. It includes thorough wound debridement, infection control, and the use of specialized dressings to promote the healing of compromised tissues. If a patient is found to have deficient circulation, Dr. Thakral will prepare a coordinated plan of care with other specialists to ensure sufficient blood supply to the area of reconstruction. Such a comprehensive approach to the management of these problem cases is really the only way to eliminate the need for an amputation, which is the desire of every diabetic and peripheral arterial disease patient, while at the same time giving attention to the functional, weight, bearing capability of the limb.