The International Journal of Lower Extremity Wounds This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Using a Contradictory Approach to Treat a Wound Induced by Hematoma in a Patient With Antiphospholipid Antibody Syndrome Using Negative Pressure Wound Therapy: Lessons Learnt
This report supports the idea that if accompanied by conservative debridement with meticulous bleeding control, application of NPWT in low pressures and close monitoring of the patient, NPWT is possible to use even in wounds of patients with risk for bleeding. (Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Jang, M. Y., Hong, J. P., Bordianu, A., Suh, H. S. Tags: Case Reports Source Type: research

Successful Surgical Treatment for Elephantiasis Nostras Verrucosa Using a New Designed Column Flap
Elephantiasis nostras verrucosa is a chronic lymphedema that causes enlarged and disfigured extremities. There are plenty of treatment options. However, there is no complete treatment. Preventive or symptomatic therapy is the basis for treating elephantiasis. In this article, we report a case of elephantiasis nostras verrucosa treated successfully by surgical reconstruction using a newly designed column flap. (Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Han, H. H., Lim, S. Y., Oh, D. Y. Tags: Case Reports Source Type: research

Chronic Expanding Organized Hematoma of the Lower Leg: A Rare Cause for Nonhealing Leg Ulcers
Chronic expanding hematoma is a rare entity on the leg. A 55-year-old women presented with 2 small nonhealing leg ulcers. On examination we observed a painless bulky tumor-like mass that developed slowly after deep soft tissue infection almost 2 years ago. Vascular computed tomography suggested an organized hematoma. Important differential diagnoses include sarcoma and lymphoma. Treatment of choice is surgery. Histology confirmed the diagnosis of an organized hematoma. Chronic expanding hematoma is a rare cause of nonhealing leg ulcers. (Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Wollina, U., Heinig, B., Langner, D. Tags: Case Reports Source Type: research

"Toothbrush" the Feet: A Periodic Mechanical Stimulus for Healing of a Severe Chronic Leg Ulcer
This report supports the idea that periodic mechanical stimulus is of great importance for the healing process and this could be the mechanism of action of some other methods that have been described in the medical literature. (Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Vounotrypidis, P., Pappas, P., Vrangalas, V., Pehlivanidis, A. Tags: Case Reports Source Type: research

Staphylococcus aureus-Related Diabetic Osteomyelitis: Medical or Surgical Management? A French and Spanish Retrospective Cohort
In conclusion, except significant differences in duration of hospitalization and antibiotic therapy, medical and surgical management of S aureus DFO had similar outcomes with a cure rate >80%. (Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Lesens, O., Desbiez, F., Theis, C., Ferry, T., Bensalem, M., Laurichesse, H., Tauveron, I., Beytout, J., Aragon Sanchez, J., the Working Group on Diabetic Osteomyelitis Tags: Original Articles Source Type: research

Can We Stop Antibiotic Therapy When Signs and Symptoms Have Resolved in Diabetic Foot Infection Patients?
The study aimed to investigate whether we can stop antibiotic therapy when signs and symptoms have resolved in diabetic foot infection (DFI) patients with different grades of peripheral arterial disease (PAD) and those without PAD, and to determine whether the severity of PAD and infection has an effect on antibiotic therapy duration. A prospective randomized controlled trial of DFI patients was carried out. Patients were randomized into 2 groups when signs and symptoms had resolved: continuing antibiotics group (CAG) and discontinuing antibiotics group (DAG). The recurrence and clinical outcomes were recorded. The recurre...
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Chu, Y., Wang, C., Zhang, J., Wang, P., Xu, J., Ding, M., Li, X., Hou, X., Feng, S., Li, X. Tags: Original Articles Source Type: research

How to Close a Limb Fasciotomy Wound: An Overview of Current Techniques
Early fasciotomy is the gold standard of prevention and treatment of compartment syndrome; however, the resulting wounds may significantly increase morbidity. To address the challenge of timely and safe closure of fasciotomy wounds, numerous methods have been described. A thorough search of medical databases PubMed/MEDLINE, ScienceDirect, SCOPUS, EMBASE, and Google Scholar was conducted for articles published between 1976 and 2013 using the search terms "limb fasciotomy wound closure," "open wound management," "skin stretching," and "fasciotomy complications." A total of 49 articles on technique descriptions, case reports ...
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Kakagia, D. Tags: Reviews Source Type: research

Lipedema: A Review of the Literature
Lipedema is a disorder of adipose tissue that primarily affects females and is often misdiagnosed as obesity or lymphedema. Relatively few studies have defined the precise pathogenesis, epidemiology, and management strategies for this disorder, yet the need to successfully identify this disorder as a unique entity has important implications for proper treatment. In this review, we sought to review and identify information in the existing literature with respect to the epidemiology, pathogenesis, clinical presentation, differential diagnosis, and management strategies for lipedema. The current literature suggests that liped...
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Okhovat, J.-P., Alavi, A. Tags: Reviews Source Type: research

Case Series of HIV Infection-Associated Arteriopathy: Diagnosis, Management, and Outcome Over a 5-Year period at Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University
Patients infected with human immunodeficiency virus (HIV) can present with 4 pathology types: drug-induced vasospasm (ergotism), arterial limb ischemia, critical limb ischemia, and aneurysm. Although these problems are common vascular problems, they result in increased morbidity and mortality in HIV-infected patients, especially aneurysm. Patients with these problems tend to be diagnosed with difficulty because of atypical symptoms and signs. Because of lack of data in treatment outcome literature, our report explores and provides information on HIV infection-related arteriopathy. There were 17 patients in our 5-year revie...
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Orrapin, S., Reanpang, T., Orrapin, S., Arwon, S., Kattipathanapong, T., Lekwanavijit, S., Rerkasem, K. Tags: Case Series Source Type: research

Vascular Pythiosis of the Lower Extremity in Northern Thailand: Ten Years' Experience
This report raises awareness of this disease, which needs preemptive diagnosis and appropriate treatment. (Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Reanpang, T., Orrapin, S., Orrapin, S., Arworn, S., Kattipatanapong, T., Srisuwan, T., Vanittanakom, N., Lekawanvijit, S. P., Rerkasem, K. Tags: Case Series Source Type: research

Hidradenitis Suppurativa and Wound Management
Hidradenitis suppurativa (HS) is a chronic, burdensome, debilitating disease of the hair follicle. It presents with recurrent painful inflamed and noninflamed lesions usually in specific body areas such as axillary, inguinal, perineal, and genital areas. It is associated with a large range of other diseases and conditions, such as obesity, arthropathy, inflammatory bowel diseases, and sqaumous cell carcinoma. Medical therapy may be systemic or topical, mainly based on antibiotics, retinoids, hormones and immunosuppressive drugs, including biological therapies. Surgical and laser therapies may be a valid therapeutic approac...
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Dini, V., Oranges, T., Rotella, L., Romanelli, M. Tags: Reviews Source Type: research

Pathogenesis and Management of Buerger's Disease
Buerger’s disease or thromboangiitis obliterans causes pain, ulceration, or gangrene in the lower or upper extremity. It is associated with chronic cigarette smoking and is believed to be an immune mediated vasculitis. The pathogenesis is still unknown but recent postulate of its association with odontal bacteria has generated much renewed interest. Despite its recognition more than a century ago, little progress has been made in its treatment. Until the pathogenesis is elucidated, abstinence from cigarette is the only effective therapy. (Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Liew, N. C., Lee, L., Nor Hanipah, Z., Gee, T., Jabar, M. F. Tags: Reviews Source Type: research

Lower Extremity Wounds in Patients With Idiopathic Thrombocytopenic Purpura and Systemic Lupus Erythematosus
Infections in lower extremities are sometimes concerned with systemic immunological disorders such as idiopathic thrombocytopenic purpura and systemic lupus erythematosus, which are treated with systemic steroids. Steroid therapy impairs the epithelial wound healing and with systemic condition, especially with systemic lupus erythematosus, the wound is susceptible for infection. Even a pyoderma gangrenosum sometimes occurs in a patient with idiopathic thrombocytopenic purpura with an incisional wound of hernia. The severe signs and symptoms are the deep skin and soft tissue infections, mainly caused by group A streptococcu...
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Akita, S. Tags: Reviews Source Type: research

The Buruli Ulcer
Buruli ulcer (BU) is caused by Mycobacterium ulcerans and can manifest as a simple nodule or as aggressive skin ulcers leading to debilitating osteoarthritis or limb deformity. The disease is more prevalent in those living in remote rural areas, especially in children younger than 15 years. The exact mode of transmission is possibly through traumatic skin lesions contaminated by M ulcerans. IS2404 polymerase chain reaction from ulcer swabs or biopsies is a rapid method for confirmation of BU. In coendemic countries, HIV infection complicates the progression of BU, leading to rapidly spreading osteomyelitis. Treatment is pr...
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Kumar, S., Basu, S., Bhartiya, S. K., Shukla, V. K. Tags: Reviews Source Type: research

Hemoglobinopathies and Leg Ulcers
Major hemoglobinopathies, including sickle cell anemia, are becoming a global health issue. Leg ulcers are the most common cutaneous manifestation of sickle cell disease and an important contributor to morbidity burden in this population. Leg ulcers following sickling disorders are extremely painful, and hard to heal. The clinical evidence for the optimal management of these ulcers is limited. Treating the cause and the strategies to prevent sickling are the mainstay of treatment. The basic principles of wound bed preparation and compression therapy is beneficial in these patients. (Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - October 9, 2015 Category: Surgery Authors: Alavi, A., Kirsner, R. S. Tags: Guest Editorial Source Type: research