Wound Care Q&A

Clinical Editor: Lawrence Karlock, DPM
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   When is advanced imaging necessary for guiding one’s decision-making on the treatment of a lower-extremity wound? How reliable are radiographs when clinicians suspect osteomyelitis? Should you employ magnetic resonance imaging? Does nuclear medicine imaging have particular value in managing wounds? Our expert panelists tackle these questions and more in the following discussion... Read More.
Clinical Editor: Lawrence Karlock, DPM
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   While there is quite an array of choices when it comes to choosing appropriate wound care modalities for lower-extremity wounds, there is not, as one panelist points out, a lot of published evidence for guidance. With this in mind, our expert panelists discuss a variety of wound care scenarios and how their clinical experience guides their decision-making on dressings and... Read More.
Clinical Editor: Lawrence Karlock, DPM
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   Do growth factors improve the rate of wound healing? When is it appropriate to use them on chronic wounds? Is the cost of growth factor modalities worth the results? Our expert panelists answer these key questions, share their experiences and ponder the future of these modalities with their discussion about the efficacy of growth factors in chronic wound care. Without further... Read More.
Clinical Editor: Lawrence Karlock, DPM
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Assessing and treating infected diabetic foot wounds can be challenging. Providing timely treatment is essential given the potential complications of diabetic foot infections but the rise in antibiotic resistance is a key issue to consider. With this in mind, our expert panelists discuss a variety of issues, ranging from empiric antibiotic selection and MRSA infected wounds to their approach in... Read More.
Clinical Editor: Lawrence Karlock, DPM
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   Whether it is used as a topical ingredient or a dressing ingredient, the use of silver in treating wounds has been around for quite some time. Silver has an array of beneficial effects in promoting healing. Given the potential of silver in the wound care arena, our expert panelists take a closer look at the history of silver in wound care, key indications and their experience... Read More.
Clinical Editor: Lawrence Karlock, DPM
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   Traumatic injuries in the lower extremity can be particularly difficult to manage and treat. Not only is it difficult to assess the degree of the damage caused by these injuries, prompt evaluation and treatment is essential given the risks of infection and amputation. With that said, our expert panelists review their treatment protocols.    Q: What are the basic... Read More.
Clinical Editor: Lawrence Karlock, DPM
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   Treating partial- and full-thickness burns present unique challenges for podiatrists. Although one may need to refer burns to a burn center, there are measures DPMs can take to treat burns and help relieve the patient’s pain. Accordingly, these expert panelists discuss their preferred modalities for wounds, methods of management and their thoughts on the role of bioengineered... Read More.
Clinical Editor: Lawrence Karlock, DPM
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   Systemic diseases as varied as diabetes, renal failure and rheumatoid arthritis can affect the healing of lower extremity wounds. When it comes to treating chronic wounds, there is an array of testing one can employ to rule out systemic disease as a potential cause. There are also key warning signs that may indicate a possible malignancy. With these issues in mind, our... Read More.
Clinical Editor: Lawrence Karlock, DPM
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Which emerging treatments show promise in treating lower-extremity wounds? Our expert panelists detail their usage of various wound care modalities, including topical antimicrobials and negative pressure wound therapy. They also take a look at what the future may bring for wound healing. Q: What new modalities do you use in the treatment of lower extremity wounds? A: When foot ulcers are... Read More.
Clinical Editor: Lawrence Karlock, DPM
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   In a follow-up column to the previous discussion of lower extremity traumatic wounds (see “Essential Insights On Managing Traumatic Wounds,” page 32, September issue), the panelists discuss key principles in treating open fracture wounds in the forefoot and toes. They also share their thoughts on the use of plastic surgery techniques and advanced wound closure modalities.... Read More.
Clinical Editor: Lawrence Karlock, DPM
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     Treating puncture wounds in the lower extremity can be challenging, especially given the potential for retained foreign bodies. In the first part of a discussion, our expert panelists discuss appropriate workup and diagnostic studies for such wounds, offer their perspectives on imaging modalities, and impart a few helpful surgical pearls.      Q: What are your... Read More.
Clinical Editor: Lawrence Karlock, DPM
| 11,972 reads | 0 comments
Bioengineered alternative tissues, or skin substitutes, can lead to success in patients with wounds that have not responded well to other modalities. Accordingly, our expert panelists offer a closer look at where these products fit into the wound healing armamentarium and share pertinent pearls from their clinical experience with these products. Q: What skin substitutes do you utilize in treating... Read More.