Tag: clean margin

Does complete resection of infected bone improve clinical outcomes in patients with diabetic foot osteomyelitis #ActAgainstAmputation

Osteomyelitis in patients with diabetes presents significant clinical challenges, often leading to prolonged treatments and complex surgical decisions. A recent study by our long-time toemigo Lavery et al. (2024) published in The International Wound Journal delves into whether complete resection of infected bone improves outcomes in these patients. Screenshot Screenshot The study analyzed data from... Continue Reading →

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Residual Osteomyelitis after Conservative Surgery for Diabetic Foot Infection Does Not Increase Recurrence Risk, Study Finds #Diabetes #DiabeticFoot #Osteomyelitis

Introduction:A recent study conducted by our colleagues from the Canary Islands, Aragon-Sanchez et al., investigated the association between residual osteomyelitis at the resection margin and the recurrence of diabetic foot infection. The researchers aimed to determine if positive bone margins, confirmed by microbiology and pathology, were linked to worse outcomes. The findings provide valuable insights... Continue Reading →

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Routine bacterial culture of proximal bone specimens during minor amputation in patients with DFI has little clinical utility in predicting re-operation or healing @ALPSlimb #ActAgainstAmputation #DiabeticFoot

Bone cultures? Clean margins for pathology? Both? These data from Voon and colleagues add more fuel to the discussionBackground: Trans-phalangeal and trans-metatarsal amputation, collectively termed 'minor amputations' are important procedures for managing infections of diabetes-related foot ulcers (DFU). Following minor amputation, international guidelines recommend a prolonged course of antibiotics if residual infected bone on intra-operative... Continue Reading →

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More specialties, fewer problems. How using “collaborative competencies” of Infectious Diseases, Podiatric Surgery and Pathology in teams improve care of diabetic foot osteomyelitis @japmafeettweets @idsainfo

Strong work from the superb team at the Beth Israel Deaconess in Boston. Look at the pre and post data on care of osteomyelitis! Bottom line: teamwork works, worldwide. Background: Diabetic Foot Osteomyelitis (DFO) is a common infection where treatment involves multiple services including Infectious Disease (ID), Podiatry, and Pathology. Despite its ubiquity in the hospital,... Continue Reading →

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