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¿Como salvé mi pie? La historia jamás contada del pie diabético – a Diabetic Foot Owners Manual from Al Pie Peru

Perhaps the most comprehensive patient-centric owners manual in any language was released today by the team at Al Pie Peru. Led by Dra. Yudith Quispe, this work covers everything from daily checks to descriptions of mechanisms of wound healing. The manual is available here. The launch video of the book is here

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Economic Value of Podiatric Surgery when Added to A Vascular Surgery Program #ActAgainstAmputation #ToeandFlow @vascularsvs @alpslimb @apma

Important data from Naren Patel et al at the University of Arizona’s Southern Arizona Limb Salvage Alliance (SALSA). Bottom line: With equal number of surgeons, podiatry contributed 40% of total wRVUs generated by the entire program in 2019. Here are the granular data in for those of you interested in developing a limb preservation program. […]

Read More Economic Value of Podiatric Surgery when Added to A Vascular Surgery Program #ActAgainstAmputation #ToeandFlow @vascularsvs @alpslimb @apma
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A Free, Comprehensive Limb Preservation Owner’s Manual For Patients (and their docs) From @NealBarshes @BCM_Surgery – in 10 Languages

We can’t say enough about the great and good works of our SALSAmigo, Neil Barshes, the pride of Houston. On his github page, he has published what amounts to a soup-to-nuts owners manual for patients and their clinicians interested in limb preservation. Here it is, reprinted: As an academic vascular surgeon, I work to develop […]

Read More A Free, Comprehensive Limb Preservation Owner’s Manual For Patients (and their docs) From @NealBarshes @BCM_Surgery – in 10 Languages
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SALSA’s Diabetic Foot Ulcer Flowchart to help #ActAgainstAmputation

We’ve had many people ask for our generalized flowchart for care. Here it is. As always, these are living documents that change over time. Feel free to improve and pay it forward! Assessment of the Diabetic Foot: Wound, Ischemia and Foot Infection (WIFI) Patient with Diabetic Foot Ulcer (A) Of the 435 million people with […]

Read More SALSA’s Diabetic Foot Ulcer Flowchart to help #ActAgainstAmputation
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How to build and certify a center of excellence for limb preservation @ALPSlimb @VascularSVS @APMA @USC @KeckMedUSC #ToeFlowandGo

Here is the link for the global vascular guidelines. And listed below is section 12 by Rogers and Armstrong detailing methods of developing and certifying a limb preservation unit. We like to think of this as trauma centers for atraumatic wounds/ischemia/infection as described here. Additional information on German and Belgian efforts at limb preservation center […]

Read More How to build and certify a center of excellence for limb preservation @ALPSlimb @VascularSVS @APMA @USC @KeckMedUSC #ToeFlowandGo

Dialysis Treatment is an Independent Risk Factor for Foot Morbidity @cynthiaformosa1 #ActAgainstAmputation #DiabeticFoot

Excellent work by our Maltese colleagues on this important subject that should be front of mind for anyone looking after people with diabetes Schembri N and Formosa, C Aim: To determine the prevalence of foot morbidity among patients with ESRD on dialysis. Methods: A prospective, non-experimental, quantitative time series design was employed. Forty-seven participants were recruited in the […]

Read More Dialysis Treatment is an Independent Risk Factor for Foot Morbidity @cynthiaformosa1 #ActAgainstAmputation #DiabeticFoot

Smart Offloading Boot System for Remote Patient Monitoring: Toward Adherence Reinforcement + Proper Physical Activity Prescription for Diabetic Foot Ulcer Patients @NIDDK @NIH #ActAgainstAmputation @USC @KeckMedUSC @bcmsurgery @sensoriainc

This just published in JDST highlights the first ever smart boot system designed to explore the boundaries of boosting adherence to care in people with diabetic foot ulcers. Catherine Park 1 2 3, Ramkinker Mishra 1, Davide Vigano 4, Maurizio Macagno 4, Stefano Rossotti 4, Karen D’Huyvetter 5, Jason Garcia 5, David G Armstrong 5 6, Bijan Najafi 1 Background: A critical factor in healing diabetic foot ulcers is patient adherence to offloading devices. We tested […]

Read More Smart Offloading Boot System for Remote Patient Monitoring: Toward Adherence Reinforcement + Proper Physical Activity Prescription for Diabetic Foot Ulcer Patients @NIDDK @NIH #ActAgainstAmputation @USC @KeckMedUSC @bcmsurgery @sensoriainc

Time is Tissue: Rates of Conversion from Dry to Wet Gangrene Following Lower Extremity Revascularization @AnahitaDua @ALPSlimb #ActAgainstAmputation @avsgjournal

Superb work from our colleagues at MGH under the aegis of Anahita Dua Key Finding Rates of Wet Gangrene were 7.7% at 30 days following revascularization with a mean time to conversion of 13.5 days.• Take Home Message Rates of conversion from wet to dry gangrene were 7.7% in the first 30 days after revascularization. […]

Read More Time is Tissue: Rates of Conversion from Dry to Wet Gangrene Following Lower Extremity Revascularization @AnahitaDua @ALPSlimb #ActAgainstAmputation @avsgjournal

First-ever “episode of care” data shows the true toll of Diabetic Foot Ulcers: Study @USC @KeckMedUSC

This from our collective team at USC / University of Michigan / University of Arizona and Podimetrics We validated a model to identify diabetic foot ulcer episodes in Medicare data. With this model, we compared morbidity and mortality rates during and after episodes. All-cause mortality was 1.5 times more likely during diabetic foot ulcer episodes. […]

Read More First-ever “episode of care” data shows the true toll of Diabetic Foot Ulcers: Study @USC @KeckMedUSC

Effect of Buerger Allen exercises on foot perfusion among patient with diabetes mellitus: A systematic review & meta-analysis (and a video)

Effect of buerger allen exercise on foot perfusion among patient with diabetes mellitus: A systematic review & meta-analysis For more information on how to do the exercises, see here Highlights ⁃ Diabetes is associated with greater severity and more diffuse peripheral artery disease relative to non-diabetics.⁃ Elevation of lower extremities Feet movement Resting of the […]

Read More Effect of Buerger Allen exercises on foot perfusion among patient with diabetes mellitus: A systematic review & meta-analysis (and a video)

Single cell transcriptomic landscape of diabetic foot ulcers @NatureComms @ALPSLimb

Superb work from the Beth Israel Deaconess / Harvard Medical School and Emory University. Enjoy the full text of this magnum opus here. Diabetic foot ulceration (DFU) is a devastating complication of diabetes whose pathogenesis remains incompletely understood. Here, we profile 174,962 single cells from the foot, forearm, and peripheral blood mononuclear cells using single-cell […]

Read More Single cell transcriptomic landscape of diabetic foot ulcers @NatureComms @ALPSLimb

@USC Podiatric Surgeon David G. Armstrong First to Reach 600 Peer Reviewed Publications @KeckMedUSC @USC_Vascular @alpslimb @ResearchAtUSC

David G. Armstrong, Professor of Surgery and Director of the Southwestern Academic Limb Salvage Alliance (SALSA) published his 600th peer reviewed manuscript in 2022, at age 52. He becomes the first podiatric surgeon in the history of the specialty to reach this landmark. He reached 500 peer reviewed manuscripts at age 50. His work has […]

Read More @USC Podiatric Surgeon David G. Armstrong First to Reach 600 Peer Reviewed Publications @KeckMedUSC @USC_Vascular @alpslimb @ResearchAtUSC