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Wound Chemotherapy: Can It Help Facilitate Optimal Outcomes?

David G. Armstrong DPM MD PhD | 3,474 reads | 0 comments | 08/18/2009

At the Southern Arizona Limb Salvage Alliance (SALSA), we are frequently saddled with the most complex patients (and wounds) I have worked with in my career. Our "Toe and Flow" philosophy has been evolving to develop what we call “wound chemotherapy.”

Lately, we have been very active in modifying many of the techniques first described by Wim Fleischmann, MD, PhD, and others to provide active matrix management (negative pressure wound therapy) with other chemotherapeutic tools (i.e. antimicrobials/antiseptics, analgesics, etc.) to manipulate the wound environment.

Vessel Loops: A Simple Alternative For Wound Closure

Molly Judge DPM FACFAS | 20,866 reads | 0 comments | 05/21/2009

Among the many tips, quips and pearls that we have learned over the years, some techniques will stand the test of time better than others. Indeed, some techniques are more a matter of fad than function and will soon fall by the wayside. Valuable techniques, those that become a part of every day practice, serve patients very well and become a part of the standard of care.

What You Should Know About Starting A Wound Care Clinic

Kazu Suzuki, DPM | 31,080 reads | 0 comments | 10/29/2008

   Establishing a wound care clinic can be a rewarding part of practice. These panelists draw on their wound care experience to discuss the essential clinical tools you need and also emphasize the importance of developing strong referral sources to help facilitate optimal outcomes for patients.

Q: What are the basic and bare minimum treatment modalities and tools you use daily in your wound care clinic?

How To Develop A Wound Care Team In Your Community

Desmond Bell DPM CWS FACCWS | 4,436 reads | 0 comments | 03/12/2012

This month’s blog is the third in a series that deals with the development and marketing of wound care within a practice.

The last two blogs focused on determining if you are truly interested in wound care and how to more effectively manage the patients you see in your practice.

If you are reading this, you have hopefully reflected on how important your role is not only to your patients but also to the other providers in your community.

Are Mild Wound And Diabetic Foot Infections Like Mild Cancers?

David G. Armstrong DPM MD PhD | 4,652 reads | 0 comments | 04/18/2012

I was listening to a superb talk recently by Otis Brawley, MD, for our TEDMED at University of Arizona simulcast. Dr. Brawley, the Chief Medical Officer for the American Cancer Society, was speaking about the dramatic overtreatment of prostate and some breast cancers when they were in their early stages. Late in the 18-minute talk, he recounted an anecdote that I had not heard. It had to do with Donald Gleason, MD, PhD, and a meeting he had more than 50 years ago. Dr. Gleason is best known for the eponymous "Gleason Score" for prostate cancer.

Pertinent Insights On Coding For Wound Care

Clinical Editor: Kazu Suzuki, DPM, CWS | 48,044 reads | 0 comments | 06/27/2012

Providing salient examples and insights from their experience, the expert panelists discuss proper documentation, coding for E&M services and appropriate use of modifiers.

Q: What is the key to proper coding and documentation in wound care practices? A:

As Harry Goldsmith, DPM, emphasizes, proper documentation allows the wound care specialist and others treating the patient to evaluate the patient’s status continuously, and plan for and execute the appropriate treatments.

AmeriGel (AmerX Health Care) contains Oakin™, an oak extract with natural tannins that have reportedly been proven to reduce infections and inflammation, and speed healing.

Oak Extract Is Key Ingredient In Wound Dressing

Robi Garthwait, Contributing Editor | 11,806 reads | 0 comments | 07/03/2008

Can the natural oak extract Oakin™ enhance the healing properties of a wound dressing? AmeriGel Wound Dressing (AmerX Health Care), which contains Oakin, has received high marks from podiatrists for its ability to promote healing, especially following nail surgeries.

This photo shows a deep anterior ankle wound with exposed tendon eight days after GraftJacket application. Surgeons secured the graft with skin staples and treated the wound adjunctively with NPWT.

Acellular Orthobiologics: Can They Improve Wound Healing?

By Nicholas J. Bevilacqua, DPM, and Robert M. Greenhagen, DPM | 24,583 reads | 0 comments | 09/03/2008

The Centers for Disease Control and Prevention recently announced that diabetes now affects nearly 24 million people in the United States. Foot ulcers will affect up to 25 percent of people with diabetes during their lifetime.1 People with diabetes have a 30-fold higher lifetime risk of undergoing a lower extremity amputation in comparison to those without diabetes.2 A foot ulcer precedes a lower extremity amputation 85 percent of the time.3

The Role Of MMPs In Chronic Wound Edema

By Adrianne P.S. Smith, MD, FACEP | 23,231 reads | 2 comments | 08/03/2003

Wound healing progresses through a series of processes, which include the formation of granulation tissue, epithelialization and connective tissue remodeling. These events require continuous modification of the complex cellular support matrix. This matrix is comprised of: structural proteins (collagen and elastin); specialized “anchoring” proteins (fibronectin, laminin and fibrillin); and proteoglycans and glycosaminoglycans (GAGs) such as hyaluronic acid, chondroitin sulfate, heparan sulfate, heparin, dermatan sulfate and keratan sulfate.

Can Zinc Oxide Have An Impact On Wound Healing?

By Jonathan Moore, DPM | 114,430 reads | 1 comments | 09/03/2003

As the complexity and price of wound care materials seems to be reaching mind-numbing proportions, choosing the right product for your patients seems to be getting harder instead of easier. However, taking into account cost, effectiveness and availability, one would be hard pressed to find a product better than zinc oxide. Although it is most commonly associated with diaper rash ointments and Unna boot wraps, zinc oxide has remained relatively underused in podiatry offices and in wound care centers.