Emphasizing multidisciplinary collaboration, medication adherence and appropriate follow-up, these...
Preventing Major Amputation in a 48-Year-Old Patient with Diabetes and Multiple Comorbidities
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Treating a Complex Heel Wound in a Patient with Diabetes and PAD Through a Multidisciplinary Approach
In an intriguing case involving a patient with a lower extremity burn wound and multiple comorbidities, these authors discuss the multidisciplinary care and targeted revascularization that facilitated healing of a large, complex wound. A 37-year-old female with a past...
Addressing a Septic, Gangrenous Foot Infection and Osteomyelitis of the Hallux in A Patient with Uncontrolled Diabetes
In a case compounded by infection, neuropathy and significant vascular compromise, these authors discuss emergent debridement, keys to the diagnostic workup and step-by-step surgical considerations in facilitating limb salvage. Limb preservation is a multifaceted...
Key Considerations in Addressing Necrotizing Fasciitis in a Patient with Diabetes and Charcot-Marie-Tooth Disease
In a case involving the treatment of necrotizing fasciitis in a 30-year-old patient with diabetes and Charcot-Marie-Tooth disease, these authors discuss the use of serial debridement, free flap reconstruction and a staged equinovarus reconstruction to achieve a healed...
Healing an Open TMA Wound with Split-Thickness Skin Grafting
In a case study of a patient with idiopathic progressive neuropathy, gout, bilateral cavus deformities and a 30-year history of tobacco use, these authors discuss the use of split-thickness skin grafting to facilitate healing of a transmetatarsal amputation wound. In...
Addressing Limb Salvage Challenges in a Patient with Subacute Forefoot Charcot and Compulsive Skin Picking
In this case study involving a patient with multiple comorbidities, subacute Charcot and recurrent osteomyelitis, these authors discuss a multidisciplinary approach to resolving issues related to poor offloading, wound care, and infection management. A 61-year-old...
When a Patient with Diabetes, PAD and ESRD has Dry Gangrene on Multiple Toes
In a case that illustrates the challenges of treating patients with delayed presentations, these authors discuss multidisciplinary efforts at attempting limb salvage and emphasize the importance of candid communication with patients about post-op expectations. A...
Achieving Durable Limb Salvage After Multiple Setbacks for a Patient with Diabetes, ESRD and an Infected DFU
In a case study that illustrates the challenges of healing infected diabetic foot ulcers in patients with multiple comorbidities, these authors discuss pertinent treatment considerations in multidisciplinary care and limb preservation for a high-risk patient. A 49...
Achieving Successful Limb Salvage in a Patient with Advanced Chronic Limb-Threatening Ischemia
Preventing an initially requested below-knee amputation to avoid prolonged wound care, these authors discuss the multidisciplinary workup and successful limb salvage procedures for a patient presenting with an infected TMA site and advanced chronic limb-threatening...
When a Patient Has Multiple Diabetic Foot Ulcers, Osteomyelitis and PAD
Working in concert with vascular surgeons and infectious disease physicians, these podiatrist authors discuss the diagnostic workup, revascularization, antibiotic management and ultimately successful limb salvage in a patient with peripheral arterial disease and...
When There is a Chronic DFU and Complete Dorsal Dislocation of the First and Second MTPJs
Working in tandem with an infectious disease physician and the vascular surgery team, these authors say subsequent correction of musculoskeletal deformities and predisposing biomechanical issues led to a healed DFU and no recurrence in 16 months. Diabetic limb salvage...
