Management of Diabetic Foot Ulcers with Two Forefoot Offloading Techniques: Case Series.

Offloading is a key principle to healing diabetic foot ulcers. Nonremovable knee-high offloading devices are considered the criterion standard for offloading plantar forefoot ulcers. However, patients exhibit a limited tolerance for these devices, which contributes to a lack of use.

The Impact of Implementing a Diabetic Limb-Preservation Program on Amputation Outcomes at an Academic Institution in a Majority-Minority State.

Diabetic foot osteomyelitis may precede major limb amputations and lengthy hospital admission. These complications impact patients' morbidity and mortality. Healthcare institutions with dedicated limb-preservation teams realize reduced amputation rates and improved quality of care.

A novel, microvascular evaluation method and device for early diagnosis of peripheral artery disease and chronic limb-threatening ischemia in individuals with diabetes.

Objective: A novel transdermal arterial gasotransmitter sensor (TAGS) has been tested as a diagnostic tool for lower limb microvascular disease in individuals with and without diabetes mellitus (DM).

Methods: The TAGS system noninvasively measures hydrogen sulfide (HS) emitted from the skin. Measurements were made on the forearm and lower limbs of individuals from three cohorts, including subjects with DM and chronic limb-threatening ischemia, to evaluate skin microvascular integrity.

How to Create a Hot Foot Line to Prevent Diabetes-Related Amputations: Instant Triage for Emergency Department and Inpatient Consultations.

Emergency department visits for lower extremity complications of diabetes are extremely common throughout the world. Surprisingly, recent data suggest that such visits generate an 81.2% hospital admission rate with an annual bill of at least $1.

The deteriorating DFU: prioritising risk factors to avoid amputation.

The risk of amputation in a deteriorating diabetic foot ulcer is high. This article identifies the three major risk factors associated with such an infection--tissue loss, ischaemia and infection--and explains how to identify which risk is most prominent, and what to do to reduce the risk of amputation. Examples are included of how this approach has led to successful patient outcomes.

Comparison of Hallux Interphalangeal Joint Arthrodesis Fixation Techniques: A Retrospective Multicenter Study.

Few studies have investigated the complications that occur after hallux interphalangeal joint arthrodesis. The present study evaluated complications in 152 patients aged 18 to 80 years from 2005 to 2012 from 4 different academic institutions after hallux interphalangeal joint arthrodesis. Overall, 65.

Lower extremity amputation risk factors associated with elevated ankle brachial indices and radiographic arterial calcification.

An elevated ankle brachial index (ABI) resulting from medial artery calcification, or Mönckeberg's arteriosclerosis, is commonly seen in patients with diabetes mellitus or end-stage renal disease. Recent data have found an association between elevated ABIs and cardiovascular morbidity and mortality. The purpose of the present study was to evaluate the prognostic significance of high ABIs, poorly compressible arteries, and radiographic artery calcification compared with low ABIs in predicting lower extremity amputation and morbidity.

Evaluation of Hallux Interphalangeal Joint Arthroplasty Compared With Nonoperative Treatment of Recalcitrant Hallux Ulceration.

Patients with chronic diabetes can develop plantar hallux ulcerations secondary to neuropathy, increased pressure, and deformity. The present retrospective study evaluated the efficacy of hallux interphalangeal joint (HIPJ) arthroplasty to address recalcitrant ulceration. Two groups of patients with diabetes were compared: a surgical group of 13 patients and a nonsurgical standard therapy group of 13 patients.