Study: Outpatient Parenteral Antibiotic Therapy for Diabetic Foot Osteomyelitis in an Uninsured and Underinsured Cohort @LimbsandLungs @ALPSlimb #ActAgainstAmputation

This is a great addition from our SALSAmigo, Grady/Emory's ID supreme, Marcos Schechter. Background  Diabetic foot osteomyelitis (DFO) is usually treated with prolonged outpatient parenteral antibiotic therapy (OPAT). Evaluation and treatment of nonantibiotic aspects of DFO (eg, peripheral artery disease) are also recommended. There are limited data regarding OPAT practice patterns and outcomes for DFO. Methods  Single-center... Continue Reading →

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Study: Fully automated closed loop artificial pancreas

The study from colleagues in Cambridge published in the journal Nature Medicine found that a fully closed-loop insulin delivery system (CamAPS HX) improved glucose control in adults with type 2 diabetes, compared to standard insulin therapy and a masked glucose sensor (control). The proportion of time in the target glucose range was 66.3% with closed-loop... Continue Reading →

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Study: Disparities in Preventative Diabetic Foot Education ActAgainstAmputation #DiabeticFoot @ALPSlimb @VascularAZ @USC @USC_vascular @ResearchatUSC @KeckSchool_USC @TzeWoeiTan

This from our combined Arizona/USC SALSA Team. Objective The objective of this study is to assess the overall differences in the standard of preventive foot care for patients at risk of diabetic foot ulceration and to identify specific demographic factors affecting these healthcare practices including race and ethnicity. Methods The National Health and Nutrition Examination... Continue Reading →

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Acute Effects of Combination Therapy by Triceps Surae Stretching and Electrical Stimulation to the Tibialis Anterior on Medial Forefoot Plantar Pressure DuringGait in Patients With Diabetes Mellitus @ALPSlimb #ActAgainstAmputation

This compelling work from our plastic surgery toemigos from Kobe and Tokyo. It is similar work to what Dr. Manish Bharara and I did -- just to an entirely new clinical level. High plantar flexor moment and limited ankle mobility are known to cause high plantar pressure under the forefoot. Stretching is an effective physical... Continue Reading →

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Presenting limb severity is associated with long-term outcomes after infrainguinal revascularization for chronic limb-threatening ischemia @UCSFvascular @VascularSVS @ALPSlimb

Presenting limb severity is associated with long-term outcomes after infrainguinal revascularization for chronic limb-threatening ischemia This from our toe and flowmigos at UCSF. Type of Research: Single-center retrospective cohort study Key Findings: Among 413 patients undergoing infrainguinal revascularization for CLTI, long-term risk of major amputation was associated with presenting WIfI stage (p<0.001). Autogenous vein bypass provided... Continue Reading →

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Humans Walk Weird. Scientists May Finally Know Why – via @WIRED

This via Wired and Katrina Miller Humanity’s peculiar gait has long confounded engineers and biomechanists—but it might be one of nature’s clever tricks. In a Physical Review E paper published last month, scientists at the University of Munich may have found an answer. By modeling the physical forces that drive our double bounce, they deduced that it’s an... Continue Reading →

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Open revascularization approach is associated with healing and ambulation following transmetatarsal amputation in patients with chronic limb threatening ischemia #TMA #ActAgainstAmputation @UCSFvascular @ALPSlimb @vascularsvs

Congratulations to the UCSF toe and flow team on this important work Article Highlights: Type of Research: Multi-center retrospective cohort study Key Findings: Patients with chronic limb-threatening ischemia requiring transmetatarsal amputation had a higher rate of healing with open revascularization procedures as compared to endovascular. Additionally, post-operative community-level ambulation was more frequently achieved following open... Continue Reading →

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Cost-effectiveness of Compression Therapy With Early Endovenous Ablation in Venous Ulceration for a Medicare Population @JAMANetwork ActAgainstAmputation @ALPSlimb @USC @USC_vascular @ResearchatUSC @KeckSchool_USC @SchaefferCenter

Cost-effectiveness of Compression Therapy With Early Endovenous Ablation in Venous Ulceration for a Medicare Population This from our combined USC Schaeffer Center for Health Policy and Keck School of Medicine Department of Surgery, Division of Vascular and Endovascular Surgery. Importance: Venous leg ulcers (VLU) are the most common cause of lower extremity ulceration that commonly occur... Continue Reading →

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