Abstract: A chest wall defect that penetrates deep into the heart is rare, but life threatening. Reconstructing a defect such as this presents challenges regarding timing and surgical approach. The patient in the present case had a chest wall defect with an extensively encroached heart and severely impaired cardiac function as a result of radiation injury af […]
Abstract: A 39-year-old man with previously undiagnosed scleroderma was admitted to the UCSD Medical Center with bilateral, limb-threatening necrotic lower extremity ulcers extending to underlying fascia and muscle. Rather than amputate the extremities, the patient requested alternative treatment and underwent extensive tissue debridement followed by placeme […]
Abstract: This report describes a case of Staphylococcus aureus osteomyelitis associated with a chronic foot ulcer that was successfully treated with surgical debridement and 6 weeks of daptomycin therapy. Daptomycin was chosen because of its excellent activity against the causative organism and the patient’s history of penicillin allergy. Its tolerability a […]
Index: WOUNDS. 2014;26(3):77-82. Abstract: Burn wounds can be particularly painful and stressful for patients, particularly during dressing change and other aspects of wound care. Research into other types of wounds has demonstrated that stress and pain at dressing change are closely linked and related to healing, since high levels of stress and pain are a […]
Index: WOUNDS. 2014;26(1):13-20. Abstract: Up to 25% of people with diabetes will develop a foot ulcer at some point during their lifetime, and 1 in 5 will require an amputation. In 2006, more than 65,700 lower-limb amputations were performed in the United States alone in people with diabetes, and the 5-year mortality rate following an amputation is worse […]
Index: WOUNDS. 2014;26(1):1-12. Abstract: Chronic wounds are a significant health problem worldwide. Often they are initially managed with various focal treatments until a specialist becomes involved, sometimes weeks or months after treatment has begun. Even at the specialist level, practices and guidelines are inconsistent due to a lack of high-level evid […]
Index: WOUNDS. 2013;25(11):313-323. Abstract: Health care-associated infections (HCAIs) are infections acquired through contact with any aspect of health care. They can cause minor complications or serious disability or death, and can involve a wide variety of resistant or emergent organisms. Surgical site infections make up approximately one-fifth of HCAI […]
Index: WOUNDS. 2013;25(9):242-250. Abstract: Background. This literature review serves to develop an evidence-based algorithm for the treatment of venous ulcerations and the development of a guideline to systemically treat venous leg ulcerations (VLUs) that may improve outcomes, restore function of the affected limb, and reduce health care costs. Methods. […]
These authors provide a guide for performing a revisional positional first metatarsophalangeal joint (MTP) arthrodesis with autogenous tricortical cancellous bone graft for a malunion in a 54-year-old patient. read more
Does amniotic membrane represent a promising technology that can speed the healing of complicated wounds such as diabetic foot ulcers? These authors take a closer look at how amniotic membranes work and offer several case study examples. read more
Observing the gait of patients with diabetes can reveal valuable information that can help avert complications. This author discusses gait abnormalities in patients with diabetes, reviews the influence of ground reactive forces and provides a practical guide to analyzing gait in this patient population. read more
In the unstable Charcot foot, the concept of beaming may help patients with diabetes attain stability and greater weightbearing. These authors discuss the pathway of Charcot neuroarthropathy and offer essential surgical pearls. read more
Offering pearls from the literature as well as her clinical experience, this author discusses the impact of infection, reviews common diabetic dermatopathology and notes other pertinent diagnostic keys. read more
Given the prevalence of foot infections in patients with diabetes, aggressive and judicious management with antibiotics is crucial. These authors discuss the recent Infectious Diseases Society of America guideline on diabetic foot infections, emphasize the importance of a team approach in managing inpatients with diabetic foot disorders and investigate the e […]
Yes. Enoch T. Huang, MD, MPH&TM, FACEP, FUHMS, FACCWS, offers a closer examination of recent controversies in the literature on hyperbaric oxygen therapy (HBOT) and cites an ample body of literature to justify that HBOT can be a valuable treatment to promote diabetic foot ulcer healing in appropriately selected patients. No. Javier La Fontaine, DPM, MS, […]
A new study in Foot and Ankle International finds that platelet rich plasma (PRP) is more effective over a longer time period for patients with plantar fasciitis in comparison with cortisone injections. read more
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None of the authors give any guarantee or warranty as to the accuracy of the information nor accept any liability, with respect to loss, damage, injury or expense arising from any errors, omission, currency, or completeness of this blog publication .
These blog publications are not binding and their use should be flexible to accommodate patient needs. Application of this information in a particular situation remains the professional responsibility of the practitioner. The reader, moreover, is urged to check the package insert for each drug and dressing for any change in indications and dosages and for added warnings and precautions.