Everything a threatened limb needs, in one place.
Diagnostics, revascularisation, wound reconstruction and long-term surveillance — delivered by a single team so nothing is handed off and nothing waits.
- Same-week vascular assessment
- Non-invasive arterial & venous testing
- Multidisciplinary wound team
- Second opinions before amputation
Measure the limb before you treat it.
Non-invasive testing tells us whether a wound can heal, and where the flow stops. Nothing is planned without it.
Arterial Duplex Ultrasound
Segmental mapping of aortoiliac, femoropopliteal and tibial disease without radiation or contrast.
ABI, TBI & Toe Pressures
Objective perfusion indices, including in calcified vessels where ankle pressures mislead.
Transcutaneous Oximetry
Direct tissue oxygen measurement to predict healing potential and set the amputation level when one is unavoidable.
Restore the flow. Everything else depends on it.
Endovascular where the anatomy allows, open surgery where durability matters more, hybrid where the disease demands both. The choice is made per lesion, not per surgeon preference.
- Balloon angioplasty & drug-coated balloons
- Atherectomy for heavily calcified tibial disease
- Femoropopliteal and distal bypass grafting
- Pedal loop reconstruction & deep venous arterialisation
- Endovascular re-intervention for restenosis
Close the wound, then keep it closed.
Perfusion alone does not heal a foot. Debridement, infection control, offloading and coverage finish the job.
Sharp & Surgical Debridement
Staged excision of non-viable tissue with tissue-sparing technique and intra-operative culture.
Negative Pressure Wound Therapy
Granulation support for deep or undermined wounds, including instillation for infected cavities.
Skin Substitutes & Grafting
Cellular and acellular matrices, split-thickness grafts and dermal templates for durable coverage.
Offloading & Custom Orthotics
Total-contact casting, removable walkers and bespoke footwear to remove the pressure that caused the ulcer.
Before your first appointment.
Often, yes. A recommendation for amputation is a clinical judgement made with the information available at the time. A formal perfusion assessment frequently identifies a revascularisation option that was not previously considered.
Any prior imaging on disc, a current medication list, recent bloodwork, and the footwear you wear most days. Photographs of the wound over time are extremely useful.
Plan for two to three hours. Non-invasive testing, wound assessment and the multidisciplinary discussion all happen in the same visit wherever possible.
Not always. A substantial share of cases are managed with offloading, infection control and wound care alone once perfusion is confirmed adequate.
Yes. We routinely review cases sent from other regions and coordinate with the referring team so follow-up can happen close to home.
Not sure which service you need?
Describe the wound and we will tell you what assessment it warrants — at no cost.