Tag: diabetic foot

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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“No DFU Goes Unstudied”: The Diabetic Foot Consortium #DFC Biomarker Platform Study from Brings Master-Protocol Design to Wound Healing #DFU #DiabeticFoot

Our colleagues at the NIDDK Diabetic Foot Consortium have published the methodologic scaffolding the field has needed: a platform study—master-protocol trial design borrowed from oncology and COVID-19 vaccines—applied for the first time to DFU biomarker validation. Their mantra: No DFU Goes Unstudied.

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Hold the Antibiotics Before Bone Biopsy—Or Not? A Provocative New Meta-Analysis from #Lavery, #Wukich, #Peters and Team #DFO #Osteomyelitis #DiabeticFoot

A new systematic review and meta-analysis from Lavery, Wukich, Peters and team asks whether pre-biopsy antibiotics actually reduce bacterial culture yield in suspected diabetic foot osteomyelitis. Spoiler: maybe not.

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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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If It Doesn’t Look Like a Tree: #Fractals, #Microcirculation, and Why Small Artery Disease Is So Easy to See

A long-time friend's offhand observation in Bremen — that small artery disease is easy to see on an angiogram because it doesn't look like nature — leads to Mandelbrot, Murray's law, and a quantifiable complexity index for the diabetic foot.

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On the Whole Etymology of the Hole in Skin: Wound, Ulcer & a Dinner in Bremen with Sicco Bus #DiabeticFoot #Etymology #LimbPreservation

Over dinner at EWMA-DEWU in Bremen with longtime collaborator and renowned biomechanist Prof. Sicco Bus, talk drifted from classification to language — and to why English insists on two words for the same hole in the body. A slow look at what wound vs. ulcer is silently encoding every time we write it down.

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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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Absence of Evidence or Evidence of Absence? @SennevilleEric and Ben Lipsky on Bone Biopsy in Diabetic Foot Osteomyelitis #DFO #osteomyelitis #DFU #DFI #ActAgainstAmputation

Senneville and Lipsky return with a measured rejoinder in Clinical Infectious Diseases (April 2026), arguing that the Lagrand trial shows the absence of evidence of superiority — not definitive equivalence — between ulcer-bed and bone biopsy for guiding antibiotic therapy in diabetic foot osteomyelitis.

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