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
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
Here is a mashup of two manuscripts recently posted to the blog. While amputation appears to be reducing in OECD states, the risk for mortality secondary to DFU is high and may be getting higher.Read More Decreasing amputation, worldwide…but greater prevalence and mortality from Diabetic Foot Ulcers (DFU)?
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
Important work from Elisabetta Iacopi and coworkers from Pisa. I fear COVID but diabetic foot (DF) is worse: a survey on patients’ perception of a telemedicine service for DF during lockdown Abstract Aims To evaluate the patients’ perceptions of telemedicine visits during COVID-19 lockdown and their level of anxiety about COVID and diabetic foot (DF).Methods […]Read More I fear #COVID19 but diabetic foot (DF) is worse: a survey on patients’ perception of a telemedicine service for DF during lockdown
Strong work from Lin and coworkers again showing that in many cases, duration of referral is associated with bad outcomes. The analysis for time of referral to a medical center among patients with diabetic foot infection Abstract Open Access Background: Diabetic foot infection (DFI) is a limb- and life-threatening complication for diabetic patients needing immediate […]Read More Time is Tissue: The analysis for time of referral to a medical center among patients with #diabeticfoot infection
There were at least 3.8 million wounds managed in the UK’s NHS in 2017-2018– an amazing 7% of the adult population. This constitutes a massive 71% increase from the last review in 2014. Here is the abstract from Guest, Fuller and Vowden. Here is the full-text. Objective To evaluate the prevalence of wounds managed by […]Read More Cohort study evaluating the burden of wounds to the UK’s National Health Service in 2017/2018: update from 2012/2013 Hint: a 71% increase! @DiabetesRC
Well this is simply a cool idea. Well done to Welker and coworkers. Abstract:Objective: We aimed to develop a system for people with amputation that non-invasively restores missing control and sensory information for an ankle-foot prosthesis. Methods: In our approach, a wrist exoskeleton allows people with amputation to control and receive feedback from their prosthetic […]Read More Teleoperation of an ankle-foot prosthesis with a wrist exoskeleton
A superb technical review from our SALSAmigos Dixon and Edmonds from King’s. Historically, there has been a scarcity of evidence-based topical therapy to hasten the healing of diabetic foot ulcers. But recently new evidence-based treatments have emerged from multicentre, randomised, controlled trials. This article highlights those trials, and describes the current pharmacological management of the […]Read More Pharmacotherapy for Diabetic Foot Ulcers- Topical and Systemic
Fascinating work from Chen and coworkers. Perhaps something else we need to focus on that we often acknowledge but frequently neglect! STUDY OBJECTIVES: Sleep-disordered breathing (SDB) is prevalent and associated with increased risk of morbidity and mortality. However, whether SDB has an adverse impact on wound healing in patients with diabetic foot ulcers (DFUs) is […]Read More Poor sleep and hypoxemia may be associated with longer wound healing and more frequent ulcer recurrence in remission
More strong and practical work from our colleagues at King’s… The Role of Bone Scintigraphy with SPECT/CT in the Characterization and Early Diagnosis of Stage 0 Charcot Neuroarthropathy Abstract: We describe the use of Single Photon Emission Computed Tomography/Computed Tomography (SPECT/CT) in the investigation and diagnosis of Charcot neuroarthropathy (CN) in patients with a hot […]Read More SPECT-CT in the early diagnosis of Charcot arthropathy
We’ve long pondered when this day would arrive…well here we are! read the link below from Tech Republic. Thanks to our SALSAmigo, David Klonoff, president and founder of the Diabetes Technology Society, for sending this over! Robotics-as-a-Service: Exoskeleton manufacturer receives $20 million in fundingRead More Exoskeletons as a service? What’s next is what’s now!
Timely work from our SALSAmigos at King’s. Aim The diabetic foot attack (DFA) is perhaps the most devastating form of diabetic foot infection, presenting with rapidly progressive skin and tissue necrosis, threatening both limb and life. However, clinical outcome data in this specific group of patients are not available. Methods Analysis of 106 consecutive patients who underwent emergency hospitalisation […]Read More Outcomes after Emergency Admission with a Diabetic Foot Attack Indicate a High Rate of Healing and Limb Salvage But Increased Mortality