A 60-year-old Hispanic female presented with the chief complaint of severe pain associated with a large wound on her left leg, which had been present for four years. She had received treatment at another local hospital prior to her admission to Maricopa Medical Center in Phoenix and the previous treatment recommended to her was a below-knee amputation. Her prior treatment while living in Mexico included application of topical antibiotics and a wet-to-dry dressing. She had never had any type of debridement of the wound.
In a thorough review of the literature on surgical site infections, this author shares insights on key risk factors, discusses current concepts and controversies with preventative measures, and offers a salient overview on common pathogens.
E. Giannin Perez, DPM, MS, and Khurram H. Khan, DPM, FACFAS | 12,202 reads | 0 comments | 11/22/2013
Wound healing is a challenging task for any podiatric physician, especially for our high-risk patients with diabetes. Uncontrolled diabetes has consequences for all aspects of the body but is especially detrimental to wound healing. Patients with diabetes have a 15 to 25 percent lifetime risk of developing foot ulcers and their annual treatment costs are estimated to be about $30,000.1
Thomas Belken, DPM, and Neal Mozen, DPM, FACFAS | 24,057 reads | 0 comments | 07/23/2013
Given the important role of debridement in facilitating successful wound healing, these authors discuss pertinent issues concerning the timing and degree of debridement, and offer their perspectives on debridement modalities ranging from enzymatic agents to ultrasonic debridement and hydrosurgery.
Negative pressure wound therapy (NPWT) has become an indispensable tool for wound care for many physicians. These authors examine the research on NPWT, evaluate the newest devices on the market and provide guidance for getting reimbursement.
John Giurini, DPM, FACFAS, and Allyson Berglund, DPM | 18,154 reads | 0 comments | 07/25/2013
Given the increasing numbers of diabetic wounds among the populace and the complex environment of wounds, it is crucial to have a grasp of effective topical treatment options that can facilitate healing. These authors discuss factors that affect wound healing as well as treatment options ranging from hydrogel dressings and calcium alginate to split thickness skin grafts, foams and biologics.
Gary M. Rothenberg, DPM, CDE, CWS | 9,310 reads | 0 comments | 04/19/2013
The statistics are alarming. The morbidity and mortality associated with lower extremity wounds are high, and we are constantly exposed to new options to help heal our patients. The toolbox for the wound care clinician has expanded exponentially in the past decade and it seems as though we are learning more and more daily about the basic science behind wound care.
These panelists discuss identifying the etiology of pain in patients with wounds and share their perspectives on various treatment modalities ranging from nonsteroidal anti-inflammatory drugs (NSAIDs) to the use of regional nerve blocks before surgery.