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Program for Advanced Limb Preservation (PALP)

For appointments and information, please call (646) 962-8450

Location and Contact Information
520 East 70th Street
7th Floor -- L-7 @ the William Randolph Hearst Burn Center
New York, NY 10065

525 East 68th Street
8th Floor-- Starr 8 Clinic
New York, NY 10021
www.cornellsurgery.org/vascular
To schedule an appointment or to refer a patient call (646) 962-8450
For ED and inpatient consults: pager 30110 or 11667

Overview

The Program for Advanced Limb Preservation (PALP) at Weill Cornell Medical Center specializes in treating patients with vascular disease or diabetes who are high risk for foot and leg amputation. PALP is an interdisciplinary team of vascular specialists, podiatrists and many other experts dedicated solely to healing wounds and preventing amputations in patients with diabetes, peripheral artery disease (PAD), and other vascular problems. With appropriate treatment most amputations can be prevented and PALP provides comprehensive and advanced treatment alternatives to major limb amputation for patients with serious foot and leg problems caused by diabetes and PAD. PALP is New York City's only tertiary limb salvage program that provides comprehensive diagnostic evaluation, advanced wound care treatments including hyperbaric oxygen therapy (HBOT), surgical and minimally invasive vascular procedures, reconstructive foot surgery, and investigational treatments like stem-cell therapy at a single location. By considering all of our patients' needs the PALP team works collaboratively to heal wounds, improve blood flow, prevent recurrence, and keep patients walking.

Disorders evaluated, diagnosed and treated

  • Diabetic foot problems
  • Peripheral artery disease (PAD) and Critical limb ischemia (CLI)
  • Non-healing foot or lower extremity wounds
  • Foot infections, including osteomyelitis
  • Peripheral neuropathy

Program highlights

  • The center specializes in treating lower extremity wounds in patients at high risk for amputation, particularly those with diabetes and PAD.
  • Patients may see both a vascular surgeon and a podiatrist in the same visit. If needed, they also receive vascular testing, X-rays, foot orthotics, and other preventative footwear during their visit, eliminating the delays and logistical obstacles that often contribute to foot complications and amputations.
  • Patients have the opportunity to participate in clinical trials for new leading-edge wound care products, cell-based therapies and other novel treatments.
  • The center's multidisciplinary expertise allows high-risk patients to be diagnosed early, and to receive rapid intervention to preserve their limbs.

Services offered

Evaluations and priority consultations, including:

  • Vascular surgery
  • Podiatry
  • Internal Medicine and Cardiology
  • Endocrinology
  • Infectious disease
  • Orthotics/prosthetics
  • Plastic and reconstructive surgery
  • Ankle-brachial index (ABI) and toe-brachial index (TBI) tests
  • Transcutaneous oximetry (tcPO2)
  • Other vascular testing including venous and arterial ultrasound

Treatments, including:

  • Medical and surgical treatment of foot infections
  • Wound care and specialized dressings
  • Revascularization for PAD (angioplasty, stents, atherectomy and bypass surgery)
  • Hyperbaric oxygen therapy (HBOT)
  • Shoe modifications (extra-depth, rocker sole design, and custom molded insoles)
  • Biomechanical and pressure off-loading strategies (total contact casting and removable walkers)
  • Reconstructive foot surgery to eliminate pressure points (for example, removing bony prominences or lengthening tendons),
  • Plastic surgical procedures for wound coverage including skin grafts and tissue transfers
  • Diabetes management and cardiovascular risk factor reduction

Faculty

Podiatry:


John J. Doolan, DPM, FACFAS


Deena B. Horn, DPM


Joseph Larsen DPM, DABFAS

Vascular Surgery:

  • Darren B. Schneider, MD
    Chief, Division of Vascular and Endovascular Surgery
  • Director, Program for Advanced Limb Salvage (PALP)
  • Peter H. Connolly, MD
  • Sharif H. Ellozy, MD
  • Andrew J. Meltzer, MD

Plastic Surgery:

  • Jason A. Spector, MD
  • David M. Otterburn, MD

Hyperbaric oxygen:

  • Roger Yurt, MD
    Chief, Burns, Critical Care and Trauma
    Director, William Randolph Hearst Burn Center
  • James Gallagher, MD
  • Palmer Q. Bessey, MD
  • Wanda See, NP

Internal Medicine

  • Weill Cornell Internal Medicine Associates (CIMA)

Endocrinology

Infectious Disease

Prosthetics

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        Phone: (212) 746-6006
        Fax: (212) 746-8753
        Address: 525 E. 68th Street
        Starr 8
        New York, NY 10065
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