From Podiatry Today…
For those with diabetes, careful management of blood sugar is imperative to prevent any number of complications, including those that contribute to poor wound healing, which is so common in diabetes.
One such problem is the development of foot ulcers, which reportedly affects 15 percent of individuals with diabetes.1,2 Diabetic foot ulcers are significant [...]
From their website…
Using a bilayer matrix wound dressing for closure of complicated diabetic foot wounds
C.L. Ramanujam, C.M. Capobianco, T. Zgonis
Journal of Wound Care, Vol. 19, Iss. 2, 11 Feb 2010, pp 56 – 60
Three case studies are described showing how use of this dressing, when combined with debridement, antibiotic therapy, topical negative pressure therapy, offloading [...]
The objective of this study was to compare live and photographic assessments of clinical signs of diabetic foot disease using a new photographic foot imaging device. High quality colour photographs of the plantar foot surface were collected in 20 diabetic feet using a prototype device and in 19 diabetic feet using a definitive version of the device with optimized illumination settings. All photographs were assessed independently by four observers for presence of ulceration, abundant callus, or absence of signs and compared with live and repeated photographic assessments of the feet by the same observers. Agreement between assessments was moderate to good for all outcomes using the prototype device (56–92%) and improved using the definitive version of the device (74–100%). The data seem to suggest that important signs of diabetic foot disease can be diagnosed from high quality photographs using the photographic foot imaging device. Intended for use as telemedical monitoring device in the patients’ home, frequent remote assessments may potentially contribute to the early recognition and treatment of foot disease, which may prevent further complications.
Min-Woong Sohn, PHD1,2,
Rodney M. Stuck, DPM3,4,
Michael Pinzur, MD4,
Todd A. Lee, PHARMD, PHD1,5 and
Elly Budiman-Mak, MD, MPH1,6
+ Author Affiliations
1Center for Management of Complex Chronic Care, Hines Veterans Affairs Hospital, Hines, Illinois;
2Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, Illinois;
3Surgical Service, Hines Veterans Affairs Hospital, Hines, Illinois;
4Department of Orthopedic Surgery, Loyola [...]
James Teh, consultant radiologist 1, Tony Berendt, consultant physician 2, Benjamin A Lipsky, professor of medicine3
1 Radiology Department, Nuffield Orthopaedic Centre, Headington, Oxford OX3 7LD, 2 Bone Infection Unit, Nuffield Orthopaedic Centre, Headington, Oxford OX3 7LD, 3 VA Puget Sound Health Care System and University of Washington, Seattle, WA 98416, USA
Correspondence [...]
Erikson K
Abstract
Diabetic foot ulceration can present a major challenge to healthcare professionals. Even very small lesions have the potential for a disastrous outcome; particularly those overlying joints. This case study discusses the management of a 60-year-old male Maori with type 2 diabetes and a neuro-ischaemic foot ulcer, who underwent a 1st ray and [...]
