One of my assignments for the upcoming 2015 Annual Scientific Meeting of the American College of Foot and Ankle Surgeons (ACFAS) is a discussion of the most humbling occurrences in my career. There have been many such occurrences in my 40 years of practice. However, I did seriously consider three examples of humbling experiences in my professional career
To determine incidence and clinically relevant risk factors for diabetic amputation in a large cohort study of diabetic foot ulceration patients in China, we investigated a total of 669 diabetic foot ulceration patients, who were assessed at baseline for demographic information, medical and social history, peripheral neuropathy screening, periphery artery disease screening, assessment of nutritional status and diabetic control, physical examination including foot deformity in 15 Grade III-A hospitals. Of the 669 patients, 435 were male and 201 were female, with the mean age being 64.0 years. Of all patients, 110 had neuropathic ulcers, 122 had ischemic ulcers, 276 had neuroischemic ulcers, and 12 cases were unclassified
Infected diabetic foot is the most common reason for hospitalization and complications in patients with type 2 diabetes mellitus (DM2). Methicillin-resistant Staphylococcus aureus (MRSA) is frequently isolated from such lesions, and its presence is growing, seriously deteriorating the infected patient’s quality of life
Microbiology of diabetic foot infections: from Louis Pasteur to ‘crime scene investigation’ Anne Spichler 1 , Bonnie L Hurwitz 2 , David G Armstrong 3 and Benjamin A Lipsky 4 5 * Figure 1. Overview of methods for community profiling and functional metagenomics. Patient tissue samples contain a mixture of human and microbial DNA
In the past, many materials have been injected for soft tissue augmentation including paraffin (mineral oil) and other non–biocompatible products. Liquid silicone as one of these materials has a long and notorious history as an injectable material for soft tissue augmentation
Issue Number: Volume 28 – Issue 1 – January 2015 Author(s): Clinical Editor: Kazu Suzuki, DPM, CWS Hyperbaric oxygen therapy (HBOT) can be a valuable adjunct treatment for foot and ankle wounds. Our panelists discuss the indications for HBOT, their personal experience with the treatment and keys to patient education on the modality. Q: What are your main indications for HBOT in the foot and ankle?