Robert J. Klein, DPM, FACFAS, CWS

Disposable Negative Pressure Wound Therapy (d-NPWT) for Small-to-Medium Sized Wounds Including Surgical Wounds, Wound Dehiscence, and Diabetic Foot Ulcerations

Purpose: Negative Pressure Wound Therapy (NPWT) is a commonly used modality to treat wounds. NPWT helps promote wound healing by decreasing edema, removal of tissue debris and exudate. Tr...

Robert J. Klein , DPM, FACFAS, CWS;

08/19/2021

Metatarsal head resection in treatment for recurrent and/or recalcitrant diabetic foot ulcerations

Problem: Diabetic foot ulcers (DFU) are a potentially devastating complication of diabetes. DFU oftentimes precedes amputation. DFU has been estimated to occur in upwards of 15 to 25% of ...

Robert J. Klein , DPM, FACFAS, CWS;

08/19/2021

The DFU is healed, now what? Novel offloading techniques to prevent re-ulceration

Problem: Diabetic foot ulceration (DFU) is a complication of diabetes that can lead to infection and/or amputation. DFU occurs in roughly 15 to 25% of patients with diabetes1. Recurrence...

James Atkinson ;

David Grubb , PTA;

Stephen Hunt ;

Ryan King ;

Brandon Lawhorn ;

Robert J. Klein , DPM, FACFAS, CWS;

08/19/2021

Prevention of Bilateral Amputation with a Roll On Total Contact Cast System: What comes first, Amputation or Total Contact Casting?

Problem: Lower limb amputation, when performed to address chronic wounds, is associated with increased risk of wound recurrence, infection and mortality postoperatively.1 Therefore, when ...

Robert J. Klein , DPM, FACFAS, CWS;

01/28/2021

Demonstration of Healing with a Roll On Contact Cast System in Charcot Foot Patients with Complicated Medical Histories and High Risk of Amputation

Problem: Charcot foot is a serious, potentially limb-threatening complication of diabetes.1 Immediate immobilization of the lower limb and the redistribution of its plantar forces, which...

Robert J. Klein , DPM, FACFAS, CWS;

01/28/2021

Cleansing Chronic Lower Limb Wounds Using Negative Pressure Wound Therapy With Instillation and Dwelling of Normal Saline

In this case series, we report on the use of NPWTi-d for 3 chronic wounds in elderly patients with multiple comorbidities.

Robert J. Klein , DPM, FACFAS, CWS;

01/28/2021

Mechanically-Powered Disposable Negative Pressure Wound Therapy Use in Diabetic Foot Wounds

Diabetic foot ulcers remain a major health care problem resulting in considerable suffering and substantial socioeconomic costs.1 The gold standard for diabetic foot ulcer treatment inclu...

Robert J. Klein , DPM, FACFAS, CWS;

01/28/2021

Initial Experience Using a Broad Spectrum Antimicrobial Wound Gel to Disrupt Biofilm Integrity and Bacterial Recolonization in Diabetic Foot Ulcers

A broad spectrum antimicrobial wound gel* with a polyethylene glycol-based hydrogel, a high osmolarity solution and a surfactant has been developed to bring EPS into solution and lyse enc...

Robert J. Klein , DPM, FACFAS, CWS;

01/28/2021

Use of Oxidized Regenerated Cellulose (ORC)/Collagen/Silver-ORC Dressings in Diabetic Foot Ulcers: A Small Case Series

Development of diabetic foot ulcers (DFUs) has an estimated 15% lifetime incidence rate in diabetic patients.1 Patients with DFUs have increased risk of infection, amputation, or mortalit...

Robert J. Klein , DPM, FACFAS, CWS;

11/23/2020

Prevention of Bilateral Amputation with a Roll On Total Contact Cast System: What comes first, Amputation or Total Contact Casting?

Problem: Lower limb amputation, when performed to address chronic wounds, is associated with increased risk of wound recurrence, infection and mortality postoperatively.1 Therefore, when ...

Robert J. Klein , DPM, FACFAS, CWS;

11/23/2020