“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 โ€” 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.

Sunday Morning Wish Fulfilled: AI Meets Thermometry in Diabetic Foot Remission โ€” A Scoping Review of 60 Studies #ActAgainstAmputation #AI #Thermography #DFU

A scoping review from Kanazawa University maps 60 studies on AI-powered thermography for diabetic foot detection โ€” and reveals a critical gap: nearly half of all studies were tested only in controlled environments, not the real world where feet actually live.

From Foot to Fatality: The #DiabeticFootAttack Is Real, and It’s Worse Than You Think @alpslimb #ActAgainstAmputation

A new single-center study from the Netherlands quantifies the devastating outcomes of the diabetic foot attack: only 48.5% wound closure, 46% major amputation by 12 months, 26% one-year mortality, and 12-month amputation-free survival of just 39.7%. Time is tissue.

๐Ÿฉธ PET Scans Reveal Localized Hyper-Perfusion in Diabetic Foot Ulcers #ActAgainstAmputation

Understanding the Vascular Dynamics of DFU Healing and Pathology A recent study published in the Journal of Clinical Medicine by Christensen et al. (2025) utilized Oxygen-15 Labeled Water PET imaging to investigate resting skeletal muscle perfusion in patients with Type 2 Diabetes Mellitus (T2DM) and diabetic foot ulcers (DFUs), comparing them to healthy controls. This... Continue Reading →

Inflammation, Lipids, and Limb Risk: New Clues from Two Cohorts #ActAgainstAmputation #PAD #VascularDisease #CLTI

Peripheral artery disease (PAD) is one of the most devastating complications of diabetesโ€”contributing to ischemic pain, functional decline, and, in severe cases, amputation. Despite its prevalence, early detection remains elusive, and clinicians continue to search for simple, reliable markers of risk. A new multicohort study led by Wang and colleagues now shines a spotlight on... Continue Reading →

A Call to Action โ€” By Congressional District: From the Amputation Heat Map @American_Heart #Diabetes @ALPSlimb #CLTI #ActAgainstAmputation

Making limb preservation a national priority- one congressional district at a time Does your congressman or congresswoman know where you are on the amputation heat map? Thatโ€™s not just a rhetorical question. Itโ€™s a matter of life and limb. The American Heart Associationโ€™s PAD Collaborative has unveiled a powerful tool: an interactive map showing non-traumatic lower extremity amputation... Continue Reading →

Exploring the Prognostic Role of Toe Pressures in Diabetic Foot Ulcers with Medial Arterial Calcification #PAD #CLTI #Diagnostics #DiabeticFoot #ActAgainstAmputation

In the landscape of diabetic foot care, the presence of medial arterial calcification (MAC) adds a significant layer of complexity to the management of diabetic foot ulcers (DFUs). A recent study published in the Annals of Vascular Surgery sheds light on the prognostic value of toe pressure (TP) measurements in predicting outcomes for this challenging patient population.... Continue Reading →

Exploring the Risks of SGLT2i vs. DPP-4i as Add-On Therapies in Diabetes Care #Amputation #PAD #CLTI #Stent #DiabetesCare

A new study published in Diabetes Care sheds light on the comparative risks of peripheral artery disease (PAD)-related surgical eventsโ€”such as amputations, stent placements, or vascular surgeriesโ€”between two classes of diabetes medications: sodium-glucose cotransporter 2 inhibitors (SGLT2i) and dipeptidyl peptidase 4 inhibitors (DPP-4i). Conducted among U.S. veterans, this retrospective cohort study analyzed over 150,000 episodes of medication... Continue Reading →

Evaluating the Reliability of Portable Toe Pressure PPG Measurement Devices: Insights from Helsinki

The ability to accurately assess lower limb arterial circulation is critical in vascular medicine. A new study by Laamanen et al., from Maarit Venermo's unit published online inย Vascular, evaluates the reliability of a portable toe pressure (TP) photoplethysmography (PPG) device compared to a stationary laser Doppler flowmeter (LD). This investigation sheds light on whether an... Continue Reading →

Innovative Periosteal Distraction Technique for Diabetic Foot Ulcer Treatment #ActAgainstAmputation #PeriostealDistraction #PAD #CLTI

Example of sliding plate under skin and periosteum. It is then slowly lifted using (in this case) an external screw A recent study published in the Chinese Journal of Tissue Engineering Research presents an innovative approach for treating diabetic foot ulcers through periosteal distraction. This technique, grounded in Ilizarov's tension-stress principle, promotes both osteogenesis and... Continue Reading →

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