Guidelines

American Limb Preservation Society

Guidelines

In the ongoing quest to provide a more standardized, evidence-based medicine (EBM) approach to the assessment, diagnosis and treatment of patients with diabetes who are at high risk for amputation, we have organized the most recently published guidelines and other key publications below as a convenient set of resources in one place. It is our hope that this convenient compendium, including resources on the diabetic foot, critical limb-threatening ischemia (CLTI) and the building of interdisciplinary limb salvage teams, will prove to be beneficial in your efforts to improve limb salvage outcomes for your patients.

Diabetic Foot
i

Diabetic Foot Ulcers and Their Recurrence.

Armstrong DG, Boulton AJM, Bus SA.N Engl J Med. 2017;376(24):2367-2375.
Visit Resources
i

Practical Guidelines on the Prevention and Management of Diabetic Foot Disease (IWGDF 2019 Update).

Schaper NC, van Netten JJ, Apelqvist J, Bus SA, Hinchliffe RJ, Lipsky BA.Diabetes Metab Res Rev. 2020;36(S1):e3266.
Visit Resources
i

Guidelines on the Prevention of Foot Ulcers in Persons with Diabetes (IWGDF 2019 Update).

Bus SA, Lavery LA, Montiero-Soares M, et al.Diabetes Metab Res Rev. 2020;36(S1):e3269.
Visit Resources
i

Guidelines on Offloading Foot Ulcers in Persons with Diabetes (IWGDF 2019 Update).

Bus SA, Armstrong DG, Gooday C, et al.Diabetes Metab Res Rev. 2020;36(S1):e3274.
Visit Resources
i

Guidelines on the Diagnosis and Treatment of Foot Infection in Persons with Diabetes (IWGDF 2019 Update).

Lipsky BA, Senneville E, Zulfiqarali G, et al.Diabetes Metab Res Rev. 2020;36(S1):e3280.
Visit Resources
i

Guidelines on Diagnosis, Prognosis, and Management of Peripheral Artery Disease in Patients with Foot Ulcers and Diabetes (IWGDF 2019 Update).

Hinchliffe RJ, Forsythe RO, Apelqvist J, et al.Diabetes Metab Res Rev. 2020;36(S1):33276.
Visit Resources
i

2012 Infectious Diseases Society of America Clinical Practice Guideline for the Diagnosis and Treatment of Diabetic Foot Infections.

Lipsky BA, Berendt AR, Cornia PB, et al.Clin Infect Dis. 2012;54(12):e132-73.
Visit Resources
CLTI
i

Society for Vascular Surgery Lower Extremity Threatened Limb Classification System:

Mills JL, Conte MS, Armstrong DG.J Vasc Surg. 2014;59(1):220-234.e2.

Risk stratification based on wound, ischemia, and foot infection (WIfI).

Visit Resources

i

Global Vascular Guidelines on the Management of Chronic Limb-Threatening Ischemia.

Conte MS, Bradbury AW, Kolh P, et al.J Vasc Surg. 2019;69(6S):3S-125S.e40.
Visit Resources
Interdisciplinary Teams
i

The Diabetic Rapid Response Acute Foot Team: 7 Essential Skills for Targeted Limb Salvage.

Fitzgerald RH, Mills JL, Joseph W, Armstrong DG.Eplasty. 2009;9:e15. Epub 2009 May 5.
Visit Resources
i

Toe and Flow: Essential Components and Structure of the Amputation Prevention Team.

Rogers LC, Andros G, Caporusso J, Harkless LB, Mills JL, Armstrong DG.J Vasc Surg. 2010;52(3 Suppl):23S-27S.
Visit Resources