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Limb Salvage

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…

By Joanne Balkaran, DPM, CWS, FACFAS

Are there other options to consider when multiple providers have advised below-the-knee amputation for a patient? With an intriguing case study, this author illustrates how a concerted, multidisciplinary approach can still result in limb salvage…

Recently, Sigi, Rumenapf and Morbach along with their colleagues in Germany published some important data on end-stage renal disease (ESRD) and critical limb ischemia (CLI).1 Each of these conditions are associated…

At the Southwestern Academic Limb Salvage Alliance (SALSA), we have long nicknamed our program “Toe and Flow,” highlighting the central nature of podiatric and vascular surgery to the interdisciplinary…

By Kevin K. Ragothaman, DPM, and Jacob Wynes, DPM, MS, FACFAS

Soft tissue and bone infections affecting the foot and ankle can be complex problems to treat. The cornerstone for ensuring adequate debridement is aggressive removal of infected, non-viable tissue to optimize the surgical outcome. This can often…

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