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Limb Salvage

The Journal of the American Podiatric Medical Association (JAPMA) recently published online a collection of Special Communications to commemorate the decade since establishment of the “Toe and Flow” model for multidisciplinary care of the…

By Tammer Elmarsafi, DPM, MBBCh, AACFAS

There are a wide range of prophylactic lower extremity surgeries that may have an impact for patients with diabetes. Some are low-risk while others are complex and require careful consideration. 

By Jakob C. Thorud, DPM, MS, FACFAS and Patrick Flanagan, CO, MBA, FAAOP

Given the elevated risks of re-ulceration and re-amputation after partial foot amputations, these authors discuss various levels of amputation and which mechanical interventions might be the most optimal methods of decreasing these risks. …

By Sirisha Pokala, DPM and Thomas Belken, DPM, DABPM

In a case study involving post-op necrosis in a 59-year-old patient with a chronic wound, these authors emphasize a sound understanding of proper surgical techniques with rotational flaps as well as the vascularity in the area to help prevent…

By Vincenzo Palmieri, DPM, FACFAS, DABPM

Addressing the treatment of a patient with multiple comorbidities, this author emphasizes how advanced vascular surgery techniques in combination with serial debridements and advanced wound care prevented a below-knee amputation. 

By Nicole K. Cates, DPM, Amber M. Kavanagh, DPM and Jacob Wynes, DPM, MS, FACFAS

Diabetic foot ulcerations (DFUs) are a common yet often complicated problem. Ulcerations precede amputations 85 percent of the time in those with diabetes.1 Prevention and early treatment are of the utmost importance in order to achieve…

Great work from Anthony and coworkers details practical aspects of working with our patients to refine remote monitoring.1 

In a study that initially involved 88 adult patients with diabetes, the researchers asked patients to take…

By Matthew Wohlgemuth, DPM, DABPM

Presenting a case of a 64-year-old male with diabetes who developed a limb-threatening infection after dropping boiling tea on his left foot, this author shares insights on the aggressive treatment regimen and multidisciplinary care that enabled…

By Misaki Kiguchi, MD, MBA, FACS and Bianca Cutler, MSN, FNP-C

Patients with chronic limb-threatening ischemia (CLTI) are among the most complex that a podiatrist may treat. Here the authors share their experience and the latest research on effectively preventing, diagnosing, classifying and managing CLTI.…

Important initial work from Wilson and coworkers suggests that adjunctive rifampin may lead to more amputation-free survival in U.S. veterans with diabetic foot osteomyelitis.1 While more work is necessary to confirm or refute this data, it bears…

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