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Diabetic Limb Salvage

Lower extremity amputation among the diabetic population increased from 67,000 in 1994 to 140,000 in 2000. However, many of these lower extremity amputations can be prevented via advances in diabetic limb salvage. See below for related articles on diabetic limb salvage.

External Fixation: Is It The Answer For Diabetic Limb Salvage?
With the rising prevalence of lower extremity amputation among patients with diabetes, it?s more vital than ever to have a thorough understanding of limb salvage procedures. With this in mind, the authors explore the use of external fixation for at-risk patients.

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Preserving the Diabetic Foot
Many variables complicate the task of diabetic limb salvage. 2. Where is the patient along the spectrum of diabetes? 7. Diabetic foot infections are often associated with polymicrobial organisms.

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Can Endovascular Atherectomy Be Beneficial In Diabetic Limb Salvage?
Peripheral arterial disease (PAD) is largely undiagnosed. Peripheral arterial disease (PAD) within the diabetic population is an enormous problem. The procedure for utilizing the Silverhawk involves the following steps.

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Reassessing The Impact Of Diabetic Footwear
Emphasizing the role of the pedorthotist in the multidisciplinary team for diabetic foot care, these authors explore the possible preventive and post-op indications for a variety of therapeutic shoes, braces, orthoses and other ambulatory devices.

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Emerging Vascular Approaches For Healing Diabetic Ulcers
Given the severe ramifications associated with the combination of critical limb ischemia (CLI) and diabetic foot ulcers, this author emphasizes the potential impact of revascularization procedures in reducing the number of lower extremity amputations. Accordingly, he offers a closer look at recent advances in this arena and their place within the armamentarium for CLI.

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How To Diagnose Peripheral Arterial Disease
Peripheral arterial disease can result in a range of serious complications and possibly death. Accordingly, this author offers a closer look at non-invasive testing and assesses the pros and cons of these tests at the microcirculation and macrocirculation levels.

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Current Concepts In Treating Ischemic Foot Ulcers
Dr. Zarrinmakan likewise cites the importance of arterial studies, calling them ? Dr. Zarrinmakan considers an arteriogram when a patient requires revascularization. Dr. Allie ?

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How To Achieve Optimal Perioperative Glycemic Control In Patients With Diabetes
A complex metabolic process ensues in response to surgery and anesthesia. For both groups, an insulin sliding scale supplements glucose control. Dr. Steinberg (pictured at left) is an Associate Professor in the Department of Plastic Surgery at the Georgetown University School of Medicine in Washington, D.C. For related ...

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Point-Counterpoint: Is External Fixation The Best Option For Calcaneal Fractures?
Yes. Gary Peter Jolly, DPM, FACFAS, emphasizes the use of external fixation and ligamentotaxis for treating calcaneal fractures, citing key benefits including earlier post-op weightbearing. No. Michael M. Cohen, DPM, FACFAS, cites key limitations, a lack of evidence-based studies, a difficult learning curve and very few indications for external fixation in the treatment of calcaneal fractures.

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Case Presentation Number 1
At the 2-month follow-up, the patient? He continues to take Metanx daily. Dr. Rodriguez noted the loss of vibratory sensation in his patient.

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