Tag: amputation prevention

A Foot Ulcer Is a Whole-Body Diagnosis: New 5698 Patient Cohort Puts DFU Survival Back in the Cancer Conversation — But There’s Hope #DiabeticFoot #ActAgainstAmputation #ToeandFlow

A new 5,698-patient real-world cohort from Valladolid (Del Río-Solá et al., Adv Wound Care 2026) reports 61.8% five-year survival overall, falling to 32.1% after major amputation — and concludes the diabetic foot ulcer should be treated as a marker of advanced systemic disease, not an isolated wound. The newest entry in a fifteen-year line of evidence putting DFU mortality squarely in the cancer conversation.

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$8 Back for Every $1: Earlier Access to #DiabeticFoot Care Is a Bargain #ActAgainstAmputation #CostEffectiveness @alpslimb

A new Queensland study from Son Nghiem, Pete Lazzarini, Lauren Ward and colleagues in Diabetic Medicine finds that investing in earlier access to diabetic foot services returns nearly $8 for every $1 spent — with lower costs, fewer hospitalisations, and better quality of life.

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Hiding in Plain Sight: The #MedicareShoeBill Is Our Most Underused Lifesaver #ActAgainstAmputation @alpslimb

Ninety percent of clinicians know about the Medicare Therapeutic Shoe Benefit and nearly all recommend shoes, yet fewer than one in five eligible patients ever gets them. A new study from Ryan Crews and Carol Kurth shows the bottleneck isn't awareness. It's friction.

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Malvern at 40, and 30 Years On: One Last Bow for Profs. Boulton and Rayman, and a Long Road Ahead #Malvern40 #ActAgainstAmputation #DFCon #LimbPreservation @ALPSLimb

Forty years of the Malvern Diabetic Foot Meeting. Thirty years of mine. One last bow from Andrew Boulton in the chair. A look back at the long arc — from a Benedictine priory in 1085 to Joslin in 1928 to DFCon in 2000 to ALPS in 2020 — and a look forward to DFCon 26, DFUpdate, traveling fellowships, and the next generation already climbing the hill.

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From Scar to Salamander? Adult Mice Regrow Amputated Digits After Sequential FGF2 → BMP2 #regeneration #amputation @NatureComms

Yu and colleagues from Ken Muneoka's group show that sequential FGF2 then BMP2 treatment flips an adult mouse digit amputation from fibrosis to regeneration — rebuilding the distal phalanx with a growth plate, plus a parallel response that regenerates a synovial joint complex with tendon, ligament, and a sesamoid-like bone. The regeneration-competent cells are already in our wound beds. We just have to learn what to say to them.

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Mönckeberg: How a Quiet 1903 Autopsy Became the Loudest Plain Film in Limb Preservation #DiabeticFoot #PAD #CLTI #LimbPreservation #ActAgainstAmputation #PMAC #Calcification

Johann Georg Mönckeberg was a Hamburg patrician, born in 1877. His father — same name — was a senator of the free city, with the Mönckebergstrasse running from the Rathaus to the Hauptbahnhof named after him. The son grew up in a household where the name was already on the streets. He studied medicine at... Continue Reading →

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Ninety-Five Thousand Hands on the Work: A #Citation Milestone, and Why This is Always a Team Sport #ActAgainstAmputation #LimbPreservation @ALPSLimb @KeckSchool_USC @USC_Vascular

Google Scholar ticked over to 95,006 citations overnight. The number is real — the story behind it isn't mine. An h-index of 134 and an i10-index of 568 reflect 568 conversations between collaborators, residents, fellows, patients, and friends. A note on what citations actually are, why limb preservation is and always will be a team sport, and gratitude to everyone whose hand has been on the work.

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When it comes to #DiabeticFoot infections, Moderate ≠ Severe: New #Biomarker Data Reignite and Support the Case for Splitting Categories #IDSA #WIfI #ActAgainstAmputation

An email from Ben Lipsky brings new biomarker data — IL-17, IL-12p70, HMGB1, IL-8, CRP — that may be the strongest case yet for splitting "moderate" and "severe" diabetic foot infections in the IDSA and WIfI classification.

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The Lennon and McCartney of the Diabetic Foot, Remastered: Rescuing a Hilarious 2008 @ABoultonMD Toast for #Malvern40 #ActAgainstAmputation #DFCon #LimbPreservation @ALPSLimb

Eighteen years ago, Larry Lavery and I stood up at the Malvern Diabetic Foot Meeting dinner and performed four Beatles rewrites in honor of Andrew Boulton. It brought the house down. As Malvern turns 40, here are the videos — writers' room, performance, applause, and Abbey walls — rescued, remastered, and archived for the record.

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“Spooky Action at a Distance”: The Most Comprehensive Review Yet of Physiologic Neuromodulation for Limb Preservation #ActAgainstAmputation #Neuromodulation #SpinalCordStimulation #CLTI @BurnsTrauma @KeckSchool_USC @ResearchatUSC @USC

Our new paper in Burns and Trauma presents the most comprehensive review yet of spooky action at a distance therapies for diabetic limb preservation — from spinal cord stimulation and splenic ultrasound to remote ischemic conditioning and tibial transport. Five modalities, three mechanistic pathways, one shared destination: tissue repair at a distance.

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