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Practice

A guillotine amputation at the ankle level—how to quickly remove a septic foot: a case report

A 62-year-old female patient with poorly controlled diabetes and hypertension presented to a local medical centre's emergency department for evaluation of her right foot. One month before, while...

Proposal for a new pressure ulcer (pressure injury) classification based on depth, infection, and perfusion

One of the first documented pressure ulcer classification systems was developed by Shea in 1975. ‘Bedsores’ were classified by the depth of soft tissue damage and exposure into grades I–V; an...

Evaluation and treatment algorithm for pressure ulcers based on the dip pressure ulcer classification

The first step in the algorithm (Fig 1) is to identify people at risk of developing a PU, such as those with reduced mobility, urinary or fecal incontinence, and those who are malnourished.1 Once...

Observed impact of skin substitutes in lower extremity diabetic ulcers: lessons from the medicare database (2015–2018)

In the analysed dataset, 9,738,760 patients had a confirmed diabetes diagnosis, within which the metagroup of 909,813 had a confirmed diagnosis of LEDU, spanning 1,336,415 treatment episodes (Fig 1)....

Healing hard-to-heal diabetic foot ulcers: the role of dehydrated amniotic allograft with cross-linked bovine-tendon collagen and glycosaminoglycan matrix

We evaluated a prospective case series of patients with complicated full-thickness ulcers, and comorbidities such as diabetes and peripheral vascular disease who were treated with DAMA (Integra...

Extracellular matrix graft for reconstruction over exposed structures: a pilot case series

The retrospective case series was conducted in accordance with institutional guidelines conforming to the Declaration of Helsinki and informed written consent was obtained from patients. All patient...

Bacteriophage treatment of intransigent diabetic toe ulcers: a case series

More than 50% of diabetic foot ulcers (DFUs) become infected1 with ~18% resulting in minor amputation at best.2 The most common infective organism is meticillin-sensitive Staphylococcus aureus (MSSA),...

Comparison of two pixelated insoles using in-shoe pressure sensors to determine percent offloading: case studies

The under-use of TCCs is well-established in existing literature. Across the US, in 2010, TCC was used regularly in only 6% of wound care clinics.13 Despite higher healing rates achieved using TCC,...

Dehydrated human amnion/chorion tissue in difficult–to-heal DFUs: a case series

The case series consisted of patients over the age of 45 with DFUs that were refractory to therapy. Patient selection was based on good blood perfusion with an ankle brachial pressure index...

Guidance on physician credentialing for outpatient wound clinics

A panel of physician experts from a variety of medical specialties met virtually to address the immediate problems with physician certification in wound care. The panel represented clinicians from all...

Ultrasonic-assisted wound debridement: report from a closed panel meeting

The two main modes of action of UAW are cavitation and microstreaming..