Diabetic Foot Online
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A David G. Armstrong blog on diabetic foot, wound healing, amputation prevention, and the merger of consumer tech with medical devices. Their goal is to eliminate amputation in people with diabetes over the next generation. At its core, SALSA is a collaborative clinical and research alliance that is dedicated to advancing care of the diabetic foot.
Diabetic Foot Online
2d ago
Understanding the Impact of Assistive Walking Devices on Diabetic Foot Ulcer Treatment
Diabetic foot ulcers (DFUs) are a common and serious complication of diabetes, affecting millions of individuals worldwide. The management of these ulcers often involves the use of assistive walking devices to offload pressure from the affected foot, promoting healing and preventing further tissue damage. A recent study by Gwaltney et al. (2024) at the University of Nebraska Omaha has shed new light on the effectiveness of different assistive devices in reducing plantar forces, which is crucial for the treat ..read more
Diabetic Foot Online
4d ago
Understanding the Link Between Second Metatarsal Length and Transfer Ulcers in Diabetic Foot Infections
Diabetic foot infections are a significant concern for individuals with diabetes, leading to complications such as ulcers, and in severe cases, amputations. A recent study conducted by Nicola A. Cavalcanti and colleagues, including our friend and colleague Felix W. A. Waibel from Zurich’s Balgrist University Hospital, sheds light on an important aspect of diabetic foot management: the relationship between the length of the second metatarsal and the occurrence of transfer ulcers following fir ..read more
Diabetic Foot Online
1w ago
The Evolution of Diabetic Foot Disease Over the Past Generation
Diabetes-related foot complications have long been a significant health concern, but recent research from our friends and colleagues– international experts Marco Meloni, Alberto Piaggesi, and Luigi Uccioli offers new insights into the evolution of diabetic foot disease (DFD) over the past two decades. Their comprehensive review, published in The International Journal of Lower Extremity Wounds, provides a detailed analysis of the changing landscape of DFD and its implications for treatment and patient care.
The Changing Face of Dia ..read more
Diabetic Foot Online
1w ago
In an intriguing study published in JAMA Network Open, researchers have unveiled promising results regarding the treatment of peripheral artery disease (PAD) in individuals with type 2 diabetes. The study, titled “Liraglutide for Lower Limb Perfusion in People With Type 2 Diabetes and Peripheral Artery Disease: The STARDUST Randomized Clinical Trial,” led by Paola Caruso, PhD, and her team, explores the efficacy of liraglutide, a glucagon-like peptide 1 receptor agonist, in improving peripheral perfusion.
Peripheral artery disease, a common complication of diabetes, significantly increases th ..read more
Diabetic Foot Online
1w ago
Diabetes-related foot disease (DFD) is a significant complication for individuals living with diabetes, often leading to foot ulcers and even amputations. A recent systematic review and meta-analysis by Aaron Drovandi, Leonard Seng, and Jonathan Golledge provides valuable insights into the effectiveness of educational interventions aimed at preventing and managing DFD.
The Study at a Glance
The study, titled “Effectiveness of educational interventions for diabetes-related foot disease: A systematic review and meta-analysis,” pooled evidence from randomized controlled trials (RCTs) to assess th ..read more
Diabetic Foot Online
1w ago
In the realm of patient care the complexity of venous and lymphatic diseases, particularly phlebolymphedema, presents a significant challenge. This condition, characterized by lymphedema of venous etiology, remains under-recognized in many clinical settings, from primary care clinics to specialized wound centers. However, a superbly thoughtful editorial by Dr. John A. Chuback, Dr. M. Mark Melin, Dr. H. Todd Massey, and Dr. Monika L. Gloviczki introduces a novel educational model that promises to enhance our understanding and treatment of this condition. Their work, titled “Congestive Lower Ext ..read more
Diabetic Foot Online
2w ago
The Power of Multidisciplinary Teams in Diabetic Foot Ulcer Management: Insights from Italian Research
In the realm of diabetic foot ulcer (DFU) management, the complexity of care required cannot be overstated. A recent comprehensive study by Meloni et al., published in 2024, underscores the critical role of multidisciplinary team (MDT) approaches in enhancing patient outcomes, particularly in reducing major adverse limb events (MALEs) and improving healing rates. This research, pivotal in the development of Italian guidelines for DFU treatment, offers a beacon of hope for patients and healthc ..read more
Diabetic Foot Online
2w ago
Diabetic foot infections are a severe and often life-threatening issue, with a third of those hospitalized requiring amputation and about half of the patients dying within five years post-amputation. Despite the gravity of the situation, these infections are notoriously difficult to manage. However, recent developments in technology, care strategies, and upcoming FDA guidelines offer a glimmer of hope for those affected.
Innovative Approaches to Patient Monitoring
Dr. Caitlin Hicks, a vascular surgeon at Johns Hopkins Medicine, is leveraging artificial intelligence through a mobile app to moni ..read more
Diabetic Foot Online
3w ago
A large study led by William V. Padula, PhD, from the University of Southern California, in collaboration with Swetha Ramanathan, PhD, MPH, Benjamin G. Cohen, PhD, MPH, Gerald Rogan, MD, and David G. Armstrong, DPM, MD, PhD, has unveiled the enhanced efficacy of placental allografts in treating diabetic lower extremity ulcers (DLEUs) and venous leg ulcers (VLUs) in U.S. Medicare beneficiaries. This study, involving a retrospective analysis of a vast cohort, firmly positions viable cryopreserved and lyopreserved placental membrane (vCPM and vLPM) allografts as game-changers in wound care, signi ..read more
Diabetic Foot Online
3w ago
In a first-of-its-kind study titled “An Augmented Vision of Our Medical and Surgical Future, Today,” a collaborative team from the University of Southern California (USC), Italy, University of Texas Health Science Center, San Antonio, and the UK, led by Dr. David G. Armstrong, has published pioneering research on the use of Apple Vision Pro (AVP) in the operating room. This marks a significant milestone as the first documented instance of AVP’s application in surgical settings, specifically during limb preservation surgeries. The study, co-authored by Dr. David G. Armstrong, Sebouh Bazikian, A ..read more