Lower Extremity Wounds

Analysis of Lower Extremity Wounds Treated With Native, Cross-linked Extracellular Matrix and Broad-Spectrum Polyhexamethylene Biguanide: A Three-Year Retrospective Cohort Study

Background: Lower extremity wounds present unique management challenges to patients and clinicians alike.1 It is well documented that comorbidities such as peripheral vascular disease, im...

Janet Simon , DPM, PhD, AT;

Ralph J. Napolitano Jr., DPM, CWSP, FACFAS;

Abbey Karlock , OMS;

Bhakti Chavan , MBBS, MPH;

08/19/2021

Chronic Wound Mediated Lower Extremity Amputations and Untimely Mortality: A Systematic Review and Meta-analysis

Background: The pathway from chronic wound to major lower extremity amputation is extensively documented and known to have immense consequences on quality of life. However, mortality rate...

Kevin Chang , MS;

Christopher E. Attinger , MD;

Dean H. Meshkin ;

Kenneth L. Fan , MD;

Karen K. Evans , MD;

08/19/2021

Let's Be Frank

What’s the Best Source for Evidence-Based Medicine?

12/05/2019

Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC;

Clinicians today may be quicker to look to the Internet for wound healing advice than they are to conduct clinical research. Boundaries must be set here.

Clinicians today may be quicker...

12/05/2019

Today's Wound Clinic

Early Use of a Novel Acrylic-Silicone Hybrid Drape with Negative Pressure Wound Therapy in Lower Extremity Wounds

Negative pressure wound therapy (NPWT) is an advanced wound care strategy that supports healing by removing exudate and stimulating the growth of granulation tissue. During application, a...

Ralph J. Napolitano Jr., DPM, CWSP, FACFAS;

11/26/2019

Pilot Study Assessing Novel Autologous Homologous Skin Construct Treatment of Nonhealing Diabetic Foot Wounds

Introduction: Diabetic foot ulcers (DFUs) are a significant burden on the worldwide health-care system. These chronic lower extremity wounds are often refractory to standard of care and c...

Robert D. Galiano , MD;

Charles M. Zelen , DPM, FACFAS;

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

Dennis P. Orgill , MD, PhD;

Paul M. Glat , MD, FACS;

11/04/2019

Foot Ulceration in the Immosuppressed Population: Surgeon Beware!

Background: Over the past 3 decades, advances in transplant surgery has allowed life-saving renewal of solid organ function. Many of these patients are predisposed to the development of l...

Jessica S. Wang ;

Sarah R. Sher ;

Karen K. Evans , MD;

Elliot T. Walters , MD;

Kareem Termanini ;

Brandon T. Jackson ;

Tara M. Chadab ;

07/31/2019

The Impact of Tacrolimus in Lower Extremity Surgical Wounds

Introduction: Tacrolimus is an immunosuppressant used in solid organ transplantation. Tacrolimus, a calcineurin inhibitor, affects T-cell activation, and it is conceivable that Tacro...

Jurgen H. Fernandez ;

Jessica M. Rispoli ;

Barbara J. Saar ;

05/17/2019

Clinical Implication of Hand-Held Black Light Findings and Their Correlation to Foot and Leg Wounds

Background: Interdigital bacterial and fungal infections, as well as chronic non-healing lower extremity wounds, both represent frequently encountered pathologies that a variety of h...

Daryl Silva ;

Deep N. Shah , DPM, MBA;

James B. McGuire , DPM, PT, cPed, CWS, FAPWCA, FAPWHc;

05/17/2019

Case Study

Preserving Tissue & Limb Function: An Unusual Podiatric Wound

12/06/2018

Allen Raphael , DPM;

For patients who live an active lifestyle, regaining function can be just as important as healing a chronic wound. This article shares a recent case involving a female patient with a complicated DFU whose quality of life was severely in...

For patients who live an active...

12/06/2018

Today's Wound Clinic