Chronic Wounds

From the Editor

Medicare (Non) Coverage for Debridement: The WPS LCD and What We Really Need to Worry About

11/06/2019

Caroline E. Fife , MD, FAAFP, CWS, FUHM;

A new Local Coverage Determination (LCD) for debridement does not include diabetic foot ulcers in the list of conditions for which debridement is covered. However, the real omission may be “the wounds with no name.” Wisconsin Physicians...

A new Local Coverage...

11/06/2019

Today's Wound Clinic

Effectiveness of Fish-Skin Grafts in Chronic or Stalled Wounds

Introduction: Can the use of fish-skin grafts improve chronic or stalled wounds? Chronic wounds are not only costly to treat but can dramatically decrease a patient’s quality of life. Thi...

Brittnie Cave ;

11/04/2019

A Retrospective Case Series to Evaluate the Safety and Efficacy of a Novel Advanced Wound Care Matrix in the Management of Nonhealing Diabetic Foot Ulcers

Introduction: Advanced tissue matrices have shown promise for treating diabetic wounds and other soft tissue defects. Recent advancements in technology have led to the introduction of a n...

Marissa J. Carter , PhD;

Paul M. Glat , MD, FACS;

Robert D. Galiano , MD;

Charles M. Zelen , DPM, FACFAS;

David G. Armstrong , DPM, MD, PhD, MSc;

Dennis P. Orgill , MD, PhD;

Jarrod P. Kaufman , MD;

11/04/2019

The Use of an Advanced Fluorescence Imaging System to Target Wound Debridement, Decrease Bioburden, Improve Healing Rates, and Provide Positive Revenues in an Outpatient Wound Care Setting

Optimal wound bed preparation consists of regular debridement to remove devitalized tissues, reduce bacterial load, and establish an environment that can promote healing. A novel point-of...

Stacey Coe , BA, CCRP, CRC;

Windy E. Cole , DPM, CWSP, FACCWS;

10/24/2019

Bacterial Fluorescence Image Guidance of Antimicrobial Decision Making and Stewardship

Objective: Targeted, appropriate antimicrobials can prevent escalation to infection and future antibiotic necessity. Antimicrobial misuse often stems from diagnostic uncertainty duri...

Khristina Serena ;

Matthew Sabo , DPM;

Gabriel Halperin ;

Thomas E. Serena , MD, FACS, FACHM, MAPWCA;

Monique Y. Rennie , PhD;

Lam Le , MD;

Keyur Patel ;

Raphael Yaakov ;

08/19/2019

The Use of an Innovative Fluorescence Imaging System to Aid in Bioburden-targeted Debridement and Management in the Treatment of Chronic Wounds of the Lower Extremity

The aim of this case series was to evaluate the use of a novel point-of-care fluorescence imaging system* to aid in bacterial-targeted debridement and bioburden management in the treatmen...

Windy E. Cole , DPM, CWSP, FACCWS;

08/13/2019

Using Artificial Intelligence (AI) to Model Wound Healing Prediction – a Preliminary Study

Introduction: Accurate wound healing prediction can help guide treatment decisions by early identification of patients presenting non-healing risk. Prior efforts include the developm...

Emmanuel Wilson ;

Kyle L. Wu , MD;

Ozgur Guler , PhD;

Patrick Cheng ;

07/29/2019

The Effect of Different Wound Irrigation Solutions on Reduction of Bacterial Bioburden in Real World Data

Aim: The influence of different irrigation solutions by using with a wet-to-moist cleansing on the reduction of sessile, non-planktonic bacteria has not been investigated so far. In this ...

Thomas Riesinger ;

07/29/2019

Treatment of Diabetic Foot Ulcers with Dehydrated Human Amnion/chorion Membrane* (dHACM): Significant RCT Results

Purpose: The aim of this presentation is to present compelling evidence that dehydrated human amnion/chorion membrane (dHACM) can substantially impact the healing and closure of diabetic ...

Matthew G. Garoufalis , DPM, FASPS, FACFAOM, CWS;

06/10/2019

Extracorporeal ShockWave Therapy (ESWT) in Wound Care: State of the Art in Italy

Background: The contribution of technology and bioengineering in wound care is very high, especially in terms of physical therapies to reactivate “recalcitrant wounds”. Shockwaves (E...

Richard Kobylar , DPM;

05/17/2019