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Should You Use Antimicrobial Dressings On Clean, Uninfected Wounds?

Thomas Campbell, DPM, Qeena Woodard, DPM, FACFAS, and Stephanie Wu, DPM, MSc, FACFAS | 13,484 reads | 0 comments | 11/25/2013

Recent guidelines are disputing the notion that one should use antimicrobial dressings on wounds even when there is no evidence of infection. Accordingly, these authors take a closer look at this subject with a thorough review of the literature and an intriguing case study.

Does A Unique Amniotic Membrane Allograft Promote Advanced Wound Healing?

Danielle Chicano, Contributing Editor | 4,847 reads | 0 comments | 03/23/2015

Podiatrists who are treating dermal ulcers and defects may want to consider an emerging wound allograft that might offer improved regenerative healing.  

When Should We Refer A Patient To A Wound Care Center?

Eric H. Espensen, DPM, DABMSP, and Amy Wong, MS III | 11,275 reads | 0 comments | 01/22/2015

When should we refer a patient?

Performing Definitive Surgical Correction To Balance The Foot And Heal A Chronic Wound

Tammer Elmarsafi, DPM, and John S. Steinberg, DPM, FACFAS | 5,392 reads | 0 comments | 11/26/2014

Given the comprehensive approach chronic wounds require, these authors present the treatment of a patient with diabetic peripheral neuropathy who developed osteomyelitis and extensive soft tissue loss.

Utilizing Topical Compounded Medications To Modulate Wound Healing

Allen Jacobs, DPM, FACFAS | 16,352 reads | 0 comments | 07/23/2014

Compounding topical medications can help tailor the treatment of wounds to individual patient needs and may offer wound healing effects that are not otherwise available. This author explores how compounded topical medication can reduce pain, stimulate new tissue healing, increase vascular perfusion and decrease bioburden.

How Measuring Transcutaneous Oxygen Can Help Evaluate Wound Healing Potential

Alison J. Garten DPM | 10,430 reads | 0 comments | 07/24/2014

I recently referred a patient who has a chronic ulceration for a vascular consult. Non-invasive testing included ankle/brachial index (ABI), toe/brachial index (TBI), pulse volume recordings (PVR), skin perfusion pressure (SPP) and transcutaneous oxygen (TCOM or TcPO2). Macrocirculation in the lower extremity occurs through the posterior tibialis artery, anterior tibial artery and the peroneal arteries, the three main arteries that supply the limb. The ABI, TBI and PVR studies evaluate macrocirculation.

Remembering Nutritional Analysis In The Wound Care Patient

Alison J. Garten DPM | 2,076 reads | 0 comments | 04/23/2014

While attending a conference a several weeks ago, I ran into a colleague whose passion and expertise, like mine, is wound care. Our conversation centered upon the topic of nutrition and how often as doctors, we omit the patient's dietary habits in our treatment strategies. We are so focused on healing the wound that we may overlook the basics that would assist the healing process.

A Guide To Selecting The Right Dressings For Wounds

Clinical Editor: Kazu Suzuki, DPM, CWS | 21,401 reads | 0 comments | 06/25/2013

The proper selection of a wound dressing can greatly facilitate wound healing. Accordingly, the panelists share their thoughts on dressing selection, antimicrobial dressings and emerging dressings in wound care.

Q: How do you select your dressing in your practice setting? A:

John Steinberg, DPM, FACFAS, uses “a very practical approach” to dressings. He stresses the importance of realizing that the dressing is not likely the factor that will “heal the wound” or not.

Current Perspectives On Dressings, Tunneling Wounds And Infected Ulcers

Clinical Editor: Kazu Suzuki, DPM, CWS | 18,865 reads | 0 comments | 08/20/2013

Offering insights on dressing dispensing and obtaining a level of debridement with dressings, these panelists also share their thoughts on wounds ranging from deep tunneling wounds to infected ulcerations in the lower extremity.

Investigating The Wound Healing Potential Of A New Amniotic Membrane Graft

Eric J. Lullove, DPM, CWS, FACCWS | 12,341 reads | 0 comments | 07/31/2014

This author discusses how the use of an innovative human amniotic membrane graft enhanced healing in three patients with lower extremity wounds. Homologous tissue in wound healing has been in use for many years and recently human amnion-derived materials have become available to clinicians. Amniotic membrane derived allografts that consist of a dehydrated composite of amniotic and chorionic membranes are particularly interesting as they combine layers of the amniotic membrane that are both subjects of intensive research.