Essential Insights On Using Skin Substitutes

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   Dr. Bell is a board certified wound specialist of the American Academy of Wound Management and a Fellow of the American College of Certified Wound Specialists. He is the founder of the “Save a Leg, Save a Life” Foundation, a multidisciplinary, non-profit organization dedicated to the reduction of lower extremity amputations and improving wound healing outcomes through evidence-based methodology and community outreach.

   Dr. Lullove is in private practice in Boca Raton and Delray Beach, Fla. He is a staff physician at West Boca Medical Center in Boca Raton. Dr. Lullove is a Fellow of the American College of Certified Wound Specialists.

   Dr. Satterfield is an Associate Professor at the Western University College of Podiatric Medicine in Pomona, Calif. She is a Fellow and President-Elect of the American College of Foot and Ankle Orthopedics and Medicine.

   Dr. Suzuki is the Medical Director of Tower Wound Care Center at the Cedars-Sinai Medical Towers. He is also on the medical staff of the Cedars-Sinai Medical Center in Los Angeles and is a Visiting Professor at the Tokyo Medical and Dental University in Tokyo, Japan.


1. Sheehan P, Jones P, Giurini JM, et al. Percent change in wound area of diabetic foot ulcers over a 4-week period is a robust predictor of complete healing in a 12-week prospective trial. Diabetes Care 2003; 26(6):1879-1882.
2. Warriner R, Cardinal M, Snyder S. delayed progress in wound area reduction after four weeks of standard care predicts failure to heal diabetic foot ulcers. DFCON 2010 Poster Presentation. Los Angeles.
3. Kirsner RS, Warriner R, Michela M, et al. Advanced Biological Therapies for Diabetic Foot Ulcers. Arch Dermatol 2010; 146(8):857-862.
4. Veves A, Falanga V, et al. Graftskin, a human skin equivalent, is effective in management of non-infected neuropathic diabetic foot ulcers. Diabetes Care 2001; 24(2):290-295
5. Marston WA, Hanft J, Norwood P et al. The efficacy and safety of Dermagraft in improving the healing of chronic diabetic foot ulcers: results of a prospective randomized trial. Diabetes Care. 2003 Jun; 26(6):1701-5.

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Anonymoussays: November 19, 2010 at 7:12 pm

It would be great if the article I just read told me something that I already do not know. It would be nice if they mentioned that you can use skin substitutes off label if you are not dealing with CMS and, if you get approval, which can be done.

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