The Value of Restaging WIfI (Wound, Ischemia, Foot Infection) after Initial Vascular and Podiatric Intervention #ActAgainstAmputation #DiabeticFoot

The Wound, Ischemia, and foot Infection (WIfI) classification system is a pivotal tool in assessing the severity of limb-threatening conditions, particularly in patients with peripheral artery disease (PAD) and diabetes. A recent study underscores the importance of restaging WIfI after initial vascular and podiatric interventions to effectively monitor patient progress and guide subsequent treatment strategies.... Continue Reading →

Exploring Innovative Limb Salvage Techniques for CLTI – Tibial Cortex Transverse Transport (TTT) and Endovascular intervention

Introduction Chronic limb-threatening ischemia (CLTI) is a severe condition with high risks of amputation and mortality. A groundbreaking study by Ding et al. (2024) has revealed the potential of combining Tibial Cortex Transverse Transport (TTT) with Endovascular Therapy (EVT) to enhance outcomes for patients suffering from CLTI. Key Findings โ€ข At 6 months, 85.5% of... Continue Reading →

Can Diabetes Care Teams Improve Patient Outcomes and Value? @Medscape @USC_vascular @ALPSlimb @UMichMedicine

This from Medscape by Gary Rothenberg and me. Can Diabetes Care Teams Improve Patient Outcomes and Value?Download

Health Equity in Limb Preservation (HELP) Lab led by @TzeWoeiTan #ActAgainstAmputation @USC @KeckMed_USC @USC_Vascular

Vascular Surgeon Tze Woei Tan has helped to develop some of the most notable work over the past several years in identifying opportunities for health equity in diabetic foot care and limb preservation. It is only fitting that he should name his lab HELP. Here's to that and to working to #ActAgainstAmputation

Exploring the Impact of Podiatric Care on Diabetic Foot Ulcers in Patients with Kidney Failure @JAMANetwork @ALPSlimb @APMA #ActAgainstAmputation

In an important study led by Tze-Woei Tan, MBBS, MPH, and his team, including Bryan Caldwell, DPM, MD; Yi Zhang, PhD; Onkar Kshirsagar, PhD; Dennis J. Cotter, MSE; and Thomas W. Brewer, PhD, MJur, CHC, the significance of podiatric care for patients with diabetes and kidney failure has been brought to light. Published in JAMA... Continue Reading →

Relevance of BEST-CLI trial endpoints in a tertiary care limb preservation program

In a recent study conducted by a team from the University of California, San Francisco (UCSF), including Iris H. Liu, MD, Rym El Khoury, MD, Jade S. Hiramoto, MD MAS, Warren J. Gasper, MD, Peter A. Schneider, MD, Shant M. Vartanian, MD, and Michael S. Conte, MD, the relevance of the BEST-CLI trial endpoints was... Continue Reading →

David G. Armstrong Honored as Distinguished Visiting Professor in Singapore For Limb Preservation #ActAgainstAmputation

Singapore โ€“ February 1, 2024 The American Limb Preservation Society proudly acknowledges the distinguished visit of Dr. David G. Armstrong, ALPS Founding President, to Singapore as a Visiting Expert. Dr. Armstrong, a podiatric surgeon with Keck Medicine of USC, professor of surgery and neurological surgery at the Keck School of Medicine of USC, and a... Continue Reading →

Getting a Foothold on Diabetic Foot Diseaseโ€”Outcomes of a Multidisciplinary Clinical Pathway for Inpatient Diabetic Foot Care over 17 Years #ActAgainstAmputation #DiabeticFoot #ALPSlimb

Great work from our Singapore colleagues. Abstract Introduction Diabetes foot disease (DFD) contributes to poor quality of life, clinical and economic burden. Multidisciplinary diabetes foot teams provide prompt access to specialist teams thereby improving limb salvage. We present a 17-year review of an inpatient multidisciplinary clinical care path (MCCP) for DFD in Singapore. Methods This... Continue Reading →

A novel Canadian multidisciplinary acute care pathway for people hospitalised with a diabetic foot ulcer- #HotFootLine #ActAgainstAmputation @ALPSLimb

A novel Canadian multidisciplinary acute care pathway for people hospitalised with a diabetic foot ulcer Great work from our Canadian SALSAmigos showing how a novel HotFootLine can be effective in triage and limb preservation. This manuscript describes the implementation and initial evaluation of a novel Canadian acute care pathway for people with a diabetic foot... Continue Reading →

Multidisciplinary Limb Salvage Service Reduces Major Amputations in Diabetic Foot Infections ActAgainstAmputation #DiabeticFoot @ALPSlimb @WeAreLAHealth @HarborUCLA_VS @JAPMAFeetTweets #ToeandFlow

Congratulations to Ashley Miller, Fred Bongard and crew on these important data on an even more important team approach to limb preservation. Abstract Background: Diabetic foot infections (DFIs) can lead to limb loss and mortality. To improve patient care at a safety-net teaching hospital, we created a multidisciplinary limb salvage service (LSS). Methods: We recruited a cohort... Continue Reading →

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