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Minimal Incision Surgery: Can It Have An Impact In Diabetic Limb Salvage?

Thomas S. Roukis, DPM, PhD, FACFAS, and Borys Markewych, DPM, FAAFAS | 20,870 reads | 0 comments | 02/23/2009

For patients with diabetes and rigid forefoot deformities, traditional surgical procedures and prolonged offloading periods have a high risk of potential complications. Accordingly, these authors offer perspectives and step-by-step pearls on the use of percutaneous surgery and minimal incision surgery procedures.

Can Walking Sensors Help Predict The Outcome Of Diabetic Limb Salvage Surgery?

David G. Armstrong DPM MD PhD | 2,997 reads | 0 comments | 01/25/2010

In the past, surgery designed to heal wounds or reduce the risk for development of wounds in people with diabetes has been haphazard. A recently published pilot study in Gait & Posture suggests strongly that we can work toward predicting success preoperatively.1 See http://tinyurl.com/yzbkt96

Making Room For Nerve Decompression In The Diabetic Limb Salvage Armamentarium

hmpadmin | 2,595 reads | 0 comments | 07/22/2010

I read with interest the recent article on diabetic limb salvage (“How To Form A Diabetic Limb Salvage Team” in the June 2010 issue). Over the last 14 years, I have been significantly involved with wound care and limb salvage in the diabetic patient population. In 1998, I was asked to join the staff of a multidisciplinary wound center associated with two local hospitals as a podiatric surgeon and wound specialist.

Assessing The Use Of Ex-Fix For Offloading In Diabetic Limb Salvage

Dong Kim, DPM, Jeffrey McAlister, DPM, and Paul J. Kim, DPM | 10,638 reads | 0 comments | 01/30/2012

In lieu of the advancements in wound healing and innovations in surgical technique, limb salvage in the patient with diabetes remains a costly and complex endeavor.

Can We Achieve The ‘Equality’ In Surgery That We Have Achieved In Wound Care And Diabetic Limb Salvage?

Allen Jacobs DPM FACFAS | 4,833 reads | 3 comments | 10/21/2010

In the last several months, I have had the opportunity to attend four major wound care conferences. Standing in the back of the room at the Diabetic Limb Salvage conference, world famous researchers and academicians Peter Sheehan, MD, and Andrew Boulton, MD, commented to me how wonderful this meeting and others such as the American Professional Wound Care Association (APWCA) meeting had become in educating medical professionals on limb salvage.

Study: PVD Patients With TMA At Elevated Risk For Post-Op Limb Loss

Brian McCurdy, Managing Editor | 2,601 reads | 1 comments | 03/21/2017

Keys To Comprehensive Care For A Patient With Critical Limb Ischemia

Desmond Bell, DPM, CWS | 2,405 reads | 0 comments | 08/30/2016

Emphasizing multidisciplinary care, this author focuses on getting a 56-year-old patient ambulatory following a transmetatarsal amputation related to critical limb ischemia.

Assessing The Potential Impact Of Fluorescence Angiography In Preventing Limb Loss

Ryan Fitzgerald, DPM, FACFAS | 4,427 reads | 0 comments | 12/15/2015

Salvaging A Limb With Serial Debridement, STSGs And NPWT

Brett Chatman, DPM, Tammer Elmarsafi, DPM, and John S. Steinberg, DPM, FACFAS | 3,697 reads | 0 comments | 06/30/2015

These authors discuss how serial debridement, split thickness skin grafts and negative pressure wound therapy salvaged the limb of a 71-year-old patient with diabetes who presented with gas gangrene.

Gas gangrene of the lower extremity is one surgical emergency that normally requires extensive debridement and frequently results in lower extremity amputation. The physician must take into account the advantages of serial debridement with the use of split thickness skin grafts (STSG) and negative pressure wound therapy (NPWT) to salvage limbs.

Keys To Recognizing And Treating Limb Length Discrepancy

Joseph C. D’Amico, DPM, DABPO | 65,265 reads | 1 comments | 04/22/2014

Given the common presentation of limb length discrepancy, this author reviews the historical methods for diagnosis as well as an objective method for dynamic assessment. He also addresses the clinical significance of limb asymmetry and how computer-assisted gait analysis plays a key role in assessing treatment.