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.
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.IJLEW in Its Teens
(Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - April 8, 2015 Category: Surgery Authors: Rerkasem, K., Mani, R. Tags: Editorial Source Type: research
IJLEW Thanks Its Reviewers 2014
(Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Tags: Reviewer Acknowledgment Source Type: research
What Can I Do With a Patient With Diabetes and Critically Impaired Limb Perfusion Who Cannot Be Revascularized?
A patient with limb-threatening diabetic foot syndrome in whom relevant peripheral arterial occlusive disease is proven should receive arterial revascularization as soon as possible to avoid major amputation. However, 3 conditions may make it impossible to effectively restore limb perfusion: the patient will not profit from arterial revascularization owing to excessive tissue loss or sepsis ("too late"), the patient cannot be revascularized due to severe comorbidities ("too sick"), and arterial reconstruction is impossible because of technical and anatomical shortcomings in a patient who is otherwise fit for operation ("no...
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Authors: Rumenapf, G., Morbach, S. Tags: Original Papers Source Type: research
How Can I Maintain My Patient With Diabetes and History of Foot Ulcer in Remission?
Patients with diabetes and previous history of ulceration occupy the highest category of risk for reulceration and amputation. Annual recurrence rates of diabetic ulcerations have been reported as high as 34%, 61%, and 70% at 1, 3, and 5 years, respectively, with studies reporting 20% to 58% recurrence rate within 1 year. As the ever growing epidemic of diabetes expands globally, this sequelae of diabetic complication will continue to require increasing resources from the healthcare community to effectively manage. Recent data suggest that removal of preventative podiatric care from statewide reimbursement systems lead to ...
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Authors: Miller, J. D., Salloum, M., Button, A., Giovinco, N. A., Armstrong, D. G. Tags: Original Papers Source Type: research
Do You Want to Organize a Multidisciplinary Diabetic Foot Clinic? We Can Help
The diabetic foot (DF) is a complex pathology involving the lower limb of 8 to 10 million people around the world, and its prevalence is rising, creating a dramatic need for effective therapeutic answers. The multidisciplinary DF clinic has been proposed as a model to fight this complication from the International Working Group on Diabetic Foot (IWGDF) inside a more articulated 3-level organization strategy. The organization and technical aspects of this strategy, together with the characteristics of each of the 3 levels have been analyzed and described in the article, together with the aims and limitations of each of the ...
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Authors: Piaggesi, A., Coppelli, A., Goretti, C., Iacopi, E., Mattaliano, C. Tags: Original Papers Source Type: research
Distal Bypasses in Patients With Diabetes and Infrapopliteal Disease: Technical Considerations to Achieve Success
This article outlines some important issues in the treatment pathway of a patient with diabetes and PAD requiring distal bypass surgery—from selection and optimization of the patient (in the context of a multidisciplinary team) and preoperative workup, to the operative strategy planning, technical tips, and nonoperative adjuncts. These considerations, as well as sound knowledge of the underlying disease process, confounding medical factors and awareness of the difficulty in predicting treatment outcomes, should help maximize the chances of success. (Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Authors: Forsythe, R. O., Jones, K. G., Hinchliffe, R. J. Tags: Original Papers Source Type: research
Reduction of Diabetic Foot Ulcer Healing Times Through Use of Advanced Treatment Modalities
Diabetic wounds are a major health care problem associated with delayed healing and high amputation rates. This review systematically evaluated newer wound care therapies for the treatment of diabetic wounds. More recent means of approaching diabetic foot ulcers include various dressings, off-loading shoes, and bioengineered skin constructs and growth factors. Electrical stimulation, phototherapy, electromagnetic fields, and shockwave therapy have been further proposed as potential treatments. A brief overview of these treatments is presented using peer-reviewed evidenced-based literature. A review of the literature demons...
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Authors: Mulder, G., Tenenhaus, M., D'Souza, G. F. Tags: Original Reviews Source Type: research
The Role of Surgical Off-loading to Prevent Recurrent Ulcerations
This article reviews the most common procedures performed to heal ulcers or avoid recurrence. (Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Authors: La Fontaine, J., Lavery, L. A., Hunt, N. A., Murdoch, D. P. Tags: Original Reviews Source Type: research
The Best Way to Reduce Reulcerations: If You Understand Biomechanics of the Diabetic Foot, You Can Do It
Foot ulcer recurrence is still an unresolved issue. Although several therapies have been described for preventing foot ulcers, the rates of reulcerations are very high. Footwear and insoles have been recommended as effective therapies that prevent the development of new ulcers; however, the majority of studies have analyzed their effects in terms of reducing peak plantar pressure rather than ulcer relapse. Knowledge of biomechanical considerations is low, in general, in the team approach to diabetic foot because heterogeneous professionals having competence in recurrence prevention are involved. Assessment of biomechanical...
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Authors: Lazaro-Martinez, J. L., Aragon-Sanchez, J., Alvaro-Afonso, F. J., Garcia-Morales, E., Garcia-Alvarez, Y., Molines-Barroso, R. J. Tags: Original Reviews Source Type: research
Saving the Limb in Diabetic Patients With Ischemic Foot Lesions Complicated by Acute Infection
Ischemia and infection are the most important factors affecting the prognosis of foot ulcerations in diabetic patients. To improve the outcome of these patients, it is necessary to aggressively treat 2 important pathologies—namely, occlusive arterial disease affecting the tibial and femoral arteries and infection of the ischemic diabetic foot. Each of these 2 conditions may lead to major limb amputation, and the presence of both critical limb ischemia (CLI) and acute deep infection is a major risk factor for lower-extremity amputation. Thus, the management of diabetic foot ulcers requires specific therapeutic approac...
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Authors: Clerici, G., Faglia, E. Tags: Original Reviews Source Type: research
Do Diabetic Foot Infections With Methicillin-Resistant Staphylococcus aureus Differ From Those With Other Pathogens?
There is controversy as to whether or not diabetic foot infections (DFIs) caused by methicillin-resistant Staphylococcus aureus (MRSA) are associated with worse outcomes than DFIs caused by other pathogens. To address this issue we performed a nonsystematic literature search of published articles in English language journals seeking studies reporting on the outcomes of DFIs related to their microbiology. We retrieved 48 articles published from 1999 to 2013 that described a total of 7771 cases of DFI. The overall proportion of DFIs with an isolate of S aureus was about 30%; just over one third of these (11% of all cases) we...
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Authors: Zenelaj, B., Bouvet, C., Lipsky, B. A., Uckay, I. Tags: Original Reviews Source Type: research
Confronting a Dramatic Situation: The Charcot Foot Complicated by Osteomyelitis
This article is intended as a review of the recent literature concerning Charcot osteoarthropathy in its evolution and complications characterized by the development of ulceration and subsequent bone infection. Diagnosis and treatment strategies—either medical or surgical—are discussed both for Charcot arthropathy and osteomyelitis. (Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Authors: Dalla Paola, L. Tags: Original Reviews Source Type: research
Difficult Situations Managing Diabetic Foot. Evidences and Personal Views: Is to Operate on Patients With Diabetic Foot Osteomyelitis Old-Fashioned?
Both medical and surgical approaches have been shown to be effective in the treatment of patients with diabetic foot osteomyelitis (DFO). In patients with risk factors of bad outcome such as major bone destruction, concomitant acute infections requiring drainage, problems in limb perfusion, highly resistant bacteria, and contraindication for or patient refusal of prolonged antibiotic therapy, the choice of surgery does not require further discussion. On the contrary, modest changes of bone on imaging assessment and no limiting factors as described above make medical treatment an attractive option for patients with DFO prov...
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Authors: Senneville, E., Nguyen, S. Tags: Original Reviews Source Type: research
The Long and Winding Road of Foot Disease in Patients With Diabetes
(Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - November 10, 2014 Category: Surgery Authors: Aragon-Sanchez, J., Mani, R. Tags: Editorial Source Type: research
Corrigendum
Ren H, You C, Han C. A Chronic Leg Ulcer Presenting With Charcot–Marie–Tooth Disease and Type 2 Diabetes: A Case Report. Int J Low Extrem Wounds. 2013; 12: 30-34.
The authors for this paper are affiliated to Department of Burns and wound center, The Second Affiliated Hospital, College of Medicine, Zhejiang University #88 Jiefang Road, Hangzhou, Zhejiang province 310009, the people’s Republic of China. (Source: The International Journal of Lower Extremity Wounds)
Source: The International Journal of Lower Extremity Wounds - September 16, 2014 Category: Surgery Tags: Corrigenda Source Type: research
