Pensacola, Florida · ilep.healthcare
Keep the limb.
Keep the patient walking.
ILĒP is a surgical and teaching institute for the lower extremity. We treat diabetic and complex wounds, rebuild damaged feet and ankles, and repair injured nerves, and we train the nurses who care for these patients every day.
Jeffrey Weiland, DPM
Board Certified, American Board of Podiatric Medicine
Said “I-leap”
One institute, two missions
Saving limbs takes a surgeon and a bedside team who know what to look for.
Most amputations start with a small wound that was missed, under-treated, or referred too late. ILĒP works on both ends of that problem: advanced surgery when a limb is threatened, and practical training so nurses catch trouble early.
Surgery & clinical care
Limb preservation
Reconstructive surgery, wound care, and nerve repair for patients facing amputation or living with wounds that will not close. Every plan starts with one question: what will it take to keep this person walking?
Surgical approaches →Teaching
Nurse education
Hands-on training in wound assessment, dressing technique, diabetic foot checks, and knowing when to escalate. Taught by a limb preservation surgeon, built for inpatient, clinic, and long-term care nurses.
Training program →The limb preservation pathway
Five stages, in order, every time.
A threatened foot is rarely saved by one operation. It is saved by doing the right things in the right sequence and coordinating each hand-off.
- STAGE 1
Assess
Blood flow, infection, sensation, and structure. Perfusion testing and vascular partnership come first.
- STAGE 2
Control infection
Surgical debridement, bone biopsy and culture, and targeted antibiotics with infectious disease.
- STAGE 3
Reconstruct
Correct the deformity or pressure point that caused the wound, preserving as much function as possible.
- STAGE 4
Close & offload
Grafts, flaps, or advanced therapies to close the wound, with casting and offloading while it heals.
- STAGE 5
Protect
Footwear, bracing, surveillance visits, and patient teaching to keep the wound from coming back.
Surgical approaches
Reconstructive limb preservation & orthoplastics
Care is matched to the patient's anatomy, blood supply, and goals. The aim is a stable, functional foot that fits in a shoe and bears weight.
Diabetic & complex wounds
Evaluation and treatment of diabetic foot ulcers, pressure injuries, venous and mixed wounds, and non-healing surgical sites.
Limb salvage surgery
Surgical management of deep infection and osteomyelitis, with staged procedures and function-sparing partial foot surgery when needed.
Orthoplastics
Soft-tissue reconstruction combined with bone surgery, so exposed tendon, bone, or hardware gets durable coverage.
Micro nerve repair
Microsurgical decompression and repair of lower-extremity nerves for selected patients with nerve injury or compression.
Charcot reconstruction
Early recognition, immobilization, and reconstruction of the collapsing Charcot foot and ankle to restore a stable, plantigrade foot.
Reconstructive foot & ankle
Correction of deformities and pressure points that cause recurring wounds, including tendon balancing and joint procedures.
For referring providers
Referring providers welcome. Earlier is better.
The sooner a threatened foot is seen, the more options remain. Use this as a quick guide for when to send a patient and what to include.
Send to the emergency department now
- Spreading redness, abscess, or foul drainage with fever, chills, or high blood sugar
- Wet gangrene, crepitus, or gas on imaging
- New cold, pale, or painful foot with loss of pulses
Then call our office so we can coordinate with the admitting team.
Refer to ILĒP promptly
- A foot wound that is not clearly improving after four weeks of good standard care
- A wound that probes to bone, or exposed tendon, bone, or hardware
- A warm, swollen, red foot in a patient with neuropathy (possible Charcot)
- Dry gangrene or darkening toes
- A healed ulcer that keeps coming back, or a deformity causing pressure
- Nerve injury, nerve compression, or painful neuroma in the foot or leg
What to send
- 01Demographics and insurance information
- 02Recent office notes and medication list
- 03Wound photos and measurements, if available
- 04Imaging: X-ray, MRI, or CT reports
- 05Vascular studies, such as ABI or toe pressures
- 06Recent labs: A1c, CBC, ESR, CRP, and cultures
Nurse education
The nurse at the bedside sees the wound first.
Nurses change the dressings, turn the patients, and are often the first to notice a wound getting worse. ILĒP's training gives them a surgeon's view of the lower extremity: what healthy healing looks like, what danger looks like, and exactly what to do about it.
“Every limb we save in the operating room was first protected by a nurse who noticed something.”
Wound assessment
Measuring, staging, and documenting wounds consistently, and describing tissue, drainage, and edges.
The diabetic foot
Daily foot checks, monofilament testing, and early signs of infection, ischemia, and Charcot.
Pressure injury
Risk assessment, staging, heel protection, positioning, and support surfaces.
Dressing selection & technique
Matching the dressing to the wound, and applying it correctly: moisture, drainage, and bioburden.
Offloading basics
Why pressure keeps wounds open, and how boots, casts, and positioning take it away.
When to escalate
The findings that should prompt a call to the provider or surgeon today rather than tomorrow.
Hands-on
Skills lab
Small-group, supervised practice on models: measurement, debridement awareness, dressing application, and casting principles.
On site
Hospital & unit sessions
Training brought to your nursing units, tailored to the patients and wound types your team sees most.
Community
Clinics & long-term care
Sessions for outpatient clinics, skilled nursing, and home health teams who manage wounds between visits.
Course dates coming soon.
Nurse leaders and educators: call to reserve a session for your team.
Founder & surgeon
Dr. Jeffrey Weiland
DPM · Reconstructive Limb Preservation & Orthoplastics
Dr. Weiland is a podiatric surgeon in Pensacola whose practice centers on keeping patients with diabetic and complex lower-extremity wounds on their feet. His work combines limb salvage surgery, soft-tissue reconstruction, and nerve repair with a long commitment to clinical education for nurses. He founded ILĒP to bring those two missions under one roof.
- CertificationBoard Certified, American Board of Podiatric Medicine (ABPM)
- FocusLimb preservation, orthoplastics, micro nerve repair, diabetic and complex wounds, reconstructive foot and ankle
- Location825 East Burgess Road, Pensacola, Florida
Clinical care provided through
EvolvePodiatry
Contact
Patients, referring offices, and nurse leaders
Phone
850-359-6329Appointments, referrals, and training inquiries
Fax
888-375-3009Referrals and medical records