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Keeping Patients With Diabetic Foot Ulcers In Remission

David G. Armstrong DPM MD PhD | 3,852 reads | 1 comments | 11/14/2014

The presence of a diabetic foot ulcer (DFU) often leads to re-ulceration. A new study in the International Journal of Lower Extremity Wounds notes that the complication of DFUs will require more healthcare resources and also reaffirms the importance of podiatric physicians in keeping patients with ulcers in remission.1

Essential Insights On Surgical Management Of Diabetic Foot Ulcers

Crystal L. Ramanujam, DPM, MSc, John J. Stapleton, DPM, FACFAS, and Thomas Zgonis, DPM, FACFAS | 11,985 reads | 0 comments | 11/21/2014

Diabetic foot ulcers can lead to an array of complications including osteomyelitis and soft tissue infection. Surveying the research and relying on clinical experience, these authors provide a guide to surgically managing diabetic foot ulcers to reduce the risk of re-ulceration and complications.

Are DPMs Underusing The TCC To Offload Diabetic Foot Ulcers?

David G. Armstrong DPM MD PhD | 2,039 reads | 0 comments | 07/15/2014

Despite the evidence supporting the efficacy of total contact casts (TCC) to offload diabetic foot ulcers, podiatric physicians may not be putting this evidence into practice, according to a recent study.

Emerging Insights On Negative Pressure Wound Therapy

Karen Shum, DPM, and Kazu Suzuki, DPM, CWS | 21,576 reads | 1 comments | 07/23/2013

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.

Can Phenytoin Help Heal Diabetic And Venous Ulcers?

Allen Jacobs DPM FACFAS | 9,017 reads | 0 comments | 06/20/2013

Extemporaneous compounding offers the ability to individualize treatment for the specific needs of each patient. Frequently, compounding allows the creation of topical preparations that are otherwise not commercially available. Topical preparations can provide increased concentration within the wound as they have the ability to alter local wound dynamics and chronic wound physiology without systemic modification of the selected agents.1

Essential Principles In Treating Diabetic Forefoot Ulcers

Jason R. Hanft, DPM, FACFAS, Daniel Hall, DPM, and Mikkel Jarman, DPM | 18,179 reads | 0 comments | 07/24/2013

In addition to emphasizing the correlation between gait abnormalities and diabetic forefoot ulcerations, these authors discuss the impact of equinus and motor sensory neuropathy, how diabetes affects wound healing and keys to successful offloading.

Osteomyelitis And Heel Ulcers: What You Should Know

Eric J. Lullove, DPM, CWS | 37,669 reads | 0 comments | 07/25/2013

Mindful of the limb-threatening consequences that can arise if one does not properly diagnose and treat calcaneal osteomyelitis, this author examines the most effective modalities for diagnosing the bone infection, as well as non-invasive and surgical treatments.

Current Perspectives On Dressings, Tunneling Wounds And Infected Ulcers

Clinical Editor: Kazu Suzuki, DPM, CWS | 19,501 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.

Exploring New Technologies For Healing Wounds And Diabetic Foot Ulcers

David G. Armstrong DPM MD PhD | 5,597 reads | 0 comments | 09/20/2013

At the University of Arizona Medical Center, we are recruiting patients for two studies, among many others, that may have the potential to lead to improved healing of wounds and diabetic foot ulcers.

The first study involves a spray-on skin solution. The technology works in a similar way to bioengineered tissues. The big difference is that because it has a spray-on quality, the skin solution can go over a larger surface area and perhaps the contact with wounds and delivery may be better than previous iterations.

Is High Pressure Better Than Low Pressure For NPWT?

Quan Ngo, MBBS(Hons), Anand Deva, BSc(Med), MBBS(Hons), MS, FRACS, and Ryan Fitzgerald, DPM, AACFAS | 30,704 reads | 0 comments | 07/22/2010
Yes. These authors say high pressure NPWT can positively affect edematous wounds or unstable wounds, and works well with hydrophilic dressings or barrier dressings.

By Quan Ngo, MBBS(Hons), and Anand Deva, BSc(Med), MBBS(Hons), MS, FRACS

Over a decade ago, Fleischmann, Morykwas and their respective colleagues first introduced negative pressure wound therapy (NPWT).1,2 Their early work confirmed the effectiveness of NPWT in enhancing healing in both human and animal models.