Description
In this engaging talk, orthopedic surgeon Rod Hammett reflects on the advancements made in the management of diabetic foot complications at his hospital in Somerset. He begins by highlighting the historical challenges faced due to high rates of major amputations in diabetic patients and celebrates a significant turnaround in patient outcomes over the past decade. Using relevant data, Hammett illustrates a decline in major amputation rates, which have now fallen below the UK national average, alongside an increase in minor amputations, which signifies a proactive approach to foot care.
The lecture shifts focus to the concept of "low risk, big gain" procedures in orthopedics, drawing a comparison to gambling in casinos. He humorously emphasizes the role of non-invasive interventions, particularly by vascular specialists, as vital for improving patient populations. Hammett advocates for the establishment of multidisciplinary clinics that provide comprehensive care including education, screening, and regular foot checks, aimed at preventing amputations and enhancing overall diabetic control.
As he discusses surgical interventions, Hammett outlines criteria for when to perform minor procedures like toe amputations, emphasizing their value in maintaining foot integrity and preventing larger complications. He provides insights into various surgical techniques and considerations, including the significance of managing foot deformities to reduce ulceration risks and improve patient mobility.
Throughout the talk, he stresses a collaborative approach among healthcare providers to optimize patient outcomes, preventing major amputations through timely interventions and effective management plans. The presentation culminates in affirming the economic and health benefits of retaining limb functionality versus the costs associated with amputations, reinforcing the importance of dedicated diabetic care. The audience is left with a sense of optimism about the potential to enhance the quality of life for patients with diabetic foot problems.