Category: Limb Preservation

The Clean Margin in Diabetic Foot Osteomyelitis: Conceptual Appeal, Practical Uncertainty

Original infographic showing one resected bone margin through three overlapping lenses labeled Surgery, Pathology, and Microbiology, emphasizing that each perspective may define the margin differently.

Margin-directed antibiotic therapy after surgery for diabetic foot osteomyelitis is appealing, but surgical assessment, histopathology, and microbiology often provide different answers. A new Clinical Infectious Diseases Viewpoint explains why multidisciplinary interpretation and prospective standardization are essential.

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Charcot Is a Five-Year Survival Signal #CharcotFoot #ActAgainstAmputation

Charcot neuro-osteoarthropathy outcomes in 140 adults with diabetes: 67% emergency admission by one year, 31% lower-extremity amputation by five years, 33% all-cause mortality by five years, and 44% amputation-free survival by five years.

A new Diabetes Care registry study shows that Charcot neuro-osteoarthropathy is far more than a local foot disorder. Following diagnosis, nearly nine in ten patients required emergency hospitalization, almost one-third underwent amputation, and only 44% were alive and amputation-free at five years.

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