Lower Extremity: Treatment of Open Fractures and Complex Wounds

This presentation is to educate physicians, nurses and support staff that there are many options to reconstruct a lower extremity wound before considering amputation.


Wong Moon, MD, FACS
Associate Professor of Oncology
Department of Head and Neck/Plastic and Reconstructive Surgery
Roswell Park Comprehensive Cancer Center
Buffalo, NY

Activity Planners

Ashley Snowden
Director, Physician and Corporate Relations
Roswell Park Comprehensive Cancer Center
Elm & Carlton Streets
Buffalo, NY

Danielle M. Fleischmann, CPC
Physician Relations Liaison
Roswell Park Cancer Institute
Elm & Carlton Streets
Buffalo, NY

Samantha Gordon
CME Specialist
Baltimore, MD

Kathryn Schaefer, MSN, RN, CPHRM
Senior Manager, Accreditation and Compliance
East Lansing, MI

Statement of Need

Depending on the severity of limb injury or complex nature of a limb wound, it can be a devastating event. Limb wounds can be life threatening and ultimately disabling.   These wounds are most common after a traumatic event like a motor vehicle collision or fall. Other medical conditions such as cancer, infection, and diabetes can cause similar wounds. Ultimately, if these injuries or wounds are not managed acutely then they may result in limb amputation. This program is to educate physicians and other health care workers on early diagnosis and treatment of complex wounds in the lower extremity.

Practice Gaps. The medical professionals lack experience in assessing and determining when a limb can be salvaged or amputated. This presentation will educate medical professionals regarding the following:

  1. How to assess a extremity wound?
  2. How to manage complex extremity wounds?
  3. When to refer more complex extremity wounds?

Outcomes and Practice changes:

  1. The medical professional will be able to prevent unnecessary amputations

Target Audience

This activity is intended for primary care, trauma surgeons, orthopedic surgeons, podiatrist, and wound care physicians.

Learning Objectives

Upon completion, participants should be able to:

  • Describe methods for assessing and managing extremity wounds
  • Understand when to refer patients with more complex extremity wounds to specialists

Joint Providership Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Med-IQ and Roswell Park. Med-IQ is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

Med-IQ designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse practitioners, physician assistants, and other healthcare professionals who successfully complete the activity will receive a Statement of Participation indicating the maximum credits available.

Instructions To Receive Credit

To receive credit, read the introductory CME material, watch the webcast, and complete the evaluation, attestation, and post-test, answering at least 70% of the post-test questions correctly.

Initial Release Date: 6/2/2020
Expiration Date: 6/1/2021

Estimated Time to Complete This Activity: 1 hour and 15 minutes


The information provided through this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition.

Disclosure Policy

Med-IQ requires any person in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines “relevant financial relationships” as those in any amount occurring within the past 12 months, including those of a spouse/life partner, that could create a conflict of interest (COI). Individuals who refuse to disclose will not be permitted to contribute to this CME activity in any way. Med-IQ has policies in place that will identify and resolve COIs prior to this educational activity. Med-IQ also requires faculty to disclose discussions of investigational products or unlabeled/unapproved uses of drugs or devices regulated by the US Food and Drug Administration.


The content of this activity has been peer reviewed and has been approved for compliance. The faculty and contributors have indicated the following financial relationships, which have been resolved through an established COI resolution process, and have stated that these reported relationships will not have any impact on their ability to give an unbiased presentation.

Wong Moon, MD, FACS, has indicated no real or apparent conflicts.

The peer reviewers and activity planners have no financial relationships to disclose.

Statement Of Evidence-Based Content

Educational activities that assist physicians in carrying out their professional responsibilities more effectively and efficiently are consistent with the ACCME definition of continuing medical education (CME). As an ACCME-accredited provider of CME, it is the policy of Med-IQ to review and ensure that all the content and any recommendations, treatments, and manners of practicing medicine in CME activities are scientifically based, valid, and relevant to the practice of medicine. Med-IQ is responsible for validating the content of the CME activities it provides. Specifically, (1) all recommendations addressing the medical care of patients must be based on evidence that is scientifically sound and recognized as such within the profession; (2) all scientific research referred to, reported, or used in CME in support or justification of a patient care recommendation must conform to generally accepted standards of experimental design, data collection, and analysis.

Med-IQ is not liable for any decision made or action taken in reliance upon the information provided through this activity.

Contact Information

For CME questions or comments about this activity, please contact Med-IQ.
Call (toll-free) 866 858 7434 or email info@med-iq.com.



June 2, 2020


June 1, 2021

Related Presenters

Wong Moon MD, FACS

Wong Moon MD, FACS

Associate Professor of Oncology Department of Head and Neck/Plastic and Reconstructive Surgery Roswell Park Comprehensive Cancer Center Buffalo, NY

Supporting Documents