Association between elevated skin temperature of the foot callus and inflammatory marker in people with diabetes #ActAgainstAmputation #Diagnostic #Theragnostic #DiabeticFoot

Calluses are defined as “hyperkeratosis caused by excessive mechanical loading in particular areas” and can contribute to the development of diabetic foot ulcers(DFUs). Callus inflammation is a premonitory symptom of DFUs. To prevent DFUs, recent studies have recommended thermographic monitoring of foot skin temperature, which is recognized as a sign of skin inflammation. However, no... Continue Reading →

Effects of Special Therapeutic Footwear on the Prevention of #DiabeticFoot Ulcers: A Systematic Review and Meta-Analysis of Randomized Controlled Trials @ALPSlimb #ActAgainstAmputation

This manuscript from Luo and coworkers provides an update on one of the most important interventions we can provide our patients. Objective: To reduce diabetic foot ulcer (DFU) occurrence or recurrence, diabetic therapeutic footwear is widely recommended in clinical practice for at-risk patients. However, the effectiveness of therapeutic footwear is controversial. Thus, we performed a systematic... Continue Reading →

Home temperature monitoring reduces risk of diabetic foot ulcer recurrence by more than half: Meta Analysis #ActAgainstAmputation #DiabeticFoot @ALPSlimb

Superb effort as usual from Golledge and coworkers in evaulating people in diabetic foot remission. Aims: To perform an updated systematic review of randomised controlled trials examining the efficacy of at-home foot temperature monitoring in reducing the risk of a diabetes-related foot ulcer (DFU). Methods: Systematic review performed according to Preferred Reporting Items for Systematic reviews and... Continue Reading →

Evolution of WIfI: Expansion of WIfI Notation After Intervention #ActAgainstAmputation @alpslimb @vascularsvs @USC_vascular @UCSFVascular @jmills1955 @VirginiePhD_POD @rowe_vincent @MME_Fernando

This from our team led by Virginie Blanchette. A proposed method of re-assessment and notation of re-assessment for patients with active disease and in remission. Nearly a decade ago, the Society for Vascular Surgery (SVS)'s wound, ischemia, and foot Infection (WIfI) classification was first developed to help assess overall limb threat. However, managing conditions such... Continue Reading →

@USC Professor Armstrong Virtual Visiting Professor at Terasaki Institute “Terasaki Talks” @TerasakiInst #C2SHiP #NSF #C2SHiP @ResearchatUSC @USCProvost #ActAgainstAmputation @ALPSlimb @KeckSchool_USC The Terasaki Institute for Biomedical Innovation in Los Angeles hosted Professor David G. Armstrong for its "Terasaki Talks" lecture series. These wide-ranging lectures, chaired by Associate Prof. Mehmet Dokmeci, have covered topics throughout biomedical engineering and therapeutics. It was the first time that the institute featured a podiatric surgeon focusing primarily on tissue repair,... Continue Reading →

Top 10 research priorities in diabetic foot ulcer prevention and care

Good work from Kumlien and coworkers published in Diabetic Medicine Aim: To establish outcomes of a priority setting partnership between participants with diabetes mellitus and clinicians to identify the top 10 research priorities for preventing and treating diabetic foot ulcers (DFUs).Methods: Due to the COVID-19 pandemic, the James Lind Alliance Priority Setting Partnership process was adapted into... Continue Reading →

Adherence to at-Home Monitoring of Foot Temperatures in People with Diabetes at High Risk of Ulceration #Thermometry #Remission #DiabeticFoot #ActAgainstAmputation

Data reported by Rovers and coworkers on 151 people in diabetic foot remission from our colleagues under the aegis of Sicco Bus and Jaap Van Netten. Bottom line: like with glucose monitoring (particularly in its early days) adherence to thermometry is spotty (56.6% adhering to daily checks at 18 months). We aimed to investigate adherence... Continue Reading →

Effects of wear and tear of therapeutic footwear in patients remission. A 5-year follow-up study #ActAgainstAmputation

More wonderful work from our long-time SALSAmigos from the Complutense in Madrid. Aims to assesses the relationship between the wear and tear of therapeutic footwear (TF) and the risk of recurrence in diabetes remission patients. Methods Remission patients (N=115) participated in this 5-year prospective study in a specialized Diabetic Foot Unit between October 2016 and... Continue Reading →

A Novel Machine Learning Approach for Severity Classification of Diabetic Foot Complications Using Thermogram Images #ActAgainstAmputation

We are seeing and better approaches to assisting us in identifying subtle asymmetries and personalized discontinuities in thermometry. This work from our Qatari colleagues is just such an example. Diabetes mellitus (DM) is one of the most prevalent diseases in the world, and is correlated to a high index of mortality. One of its major... Continue Reading →

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