Volume 22 - Issue 7 - July 2009
Diabetes Watch »
Sharp debridement is a critical step to promote healing and allow the body to repair chronic wounds as naturally and healthily as possible. Removing necrotic tissue and biofilm from the surface of chronic wounds converts chronic wounds into acute ones, effectively “resetting” the wound healing cascade and allowing the healing process to take place.
I would like to applaud Tracey Vlahovic, DPM, for her article entitled “A Guide to Biopsy Techniques for Skin Neoplasms” (see page 50–56 in the May issue of Podiatry Today). Any information that turns attention to the skin biopsy in podiatric literature is sorely needed.
News and Trends »
Study Cites Link Between Higher Triglycerides And Diabetic Neuropathy
By Brian McCurdy, Senior Editor
A recently published study in Diabetes suggests a correlation between elevated triglyceride levels and diabetic neuropathy, lending credence to the idea that hyperlipidemia is a factor in the progression of diabetic neuropathy.
Biological extracellular matrices may play a valuable role in reducing potential complications and facilitating improved wound healing. Accordingly, these authors review the literature, discuss key considerations with the use of these products in chronic wounds, and share their insights on the potential of an emerging xenograft.
When one ensures proper patient selection, surgical offloading may offer key benefits for patients with diabetic foot ulcerations. Accordingly, these authors offer insights and review study findings on the use of flexor tenotomies, metatarsal head resection, Achilles tendon lengthening and external fixation to help facilitate optimal outcomes.
Yes. Lee C. Rogers, DPM cites the evidence from negative pressure wound therapy (NPWT) trials and says the characteristics of NPWT foam facilitate the development of granulation tissue and improved healing in diabetic foot ulcers.
There is no question that negative pressure wound therapy (NPWT) is a valuable modality in facilitating wound closure. In particular, the use of foam dressings with NPWT has demonstrated success in reducing wound surface size and accelerating the formation of granulation tissue.