Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions maximise both wound healing and limb salvage. A systematic review was performed, 17 studies included in final review. Below-the-knee significant techn...

OBJECTIVE Our objectives were to 1) estimate the prevalence of diabetes and diabetic lower-extremity ulcers in the Medicare population, 2) characterize Medicare population-specific costs for lower-extremity ulcer episodes, and 3) evaluate potential cost savings associated with better healing of lower-extremity ulcers. RESEARCH DESIGN AND METHODS Prevalence and costs of diabetic lower-extremit...

Tissue expansion is an important technique for reconstruction of soft tissue defects. It is commonly used in the care of burns, breast reconstruction and pediatric plastic surgery. The phenomenon of tissue expansion is well known and observed in pregnancy. Skin expands in response to tension generated by the increased abdominal volume during pregnancy. This response has been found to be a metab...

Introduction Atherosclerosis is a systemic disease affecting all major vascular beds. Risk factors for atherosclerosis, and therefore, for PAD, include active smoking, advance age, dyslipidemia, diabetes mellitus, and hypertension. Due to continuous increase in aging population and diabetes, incidence of peripheral arterial disease will continue to increase. While atherosclerotic coronary disea...

The foot is a complex anatomical and biomechanical structure. It functions to allow stable stance, ambulation and the effective transfer of force through the lower limb. A thorough understanding of how the foot and ankle achieve this is essential for planning surgery and avoiding the consequences of nerve injury, poor wound healing and disrupted function. This review looks at the current unders...

A review of Klippel-Trenaunay Weber Syndrome (KTWS) precedes a case of a patient with Non-Healing Wounds secondary to the aforementioned rare congenital syndrome. Successful treatment for these ulcerations is then outlined. A discussion follows tying KTWS to modem venous hypertensive wound care techniques. We believe this is the only report of its type targeting lower extremity practitioners in...

BACKGROUND The purpose of this study was to verify whether the concept of coronary blood flow reserve can be applied to patients with critical limb ischemia who are undergoing endovascular treatment (EVT) for isolated infrapopliteal lesions. METHODS AND RESULTS Forty patients diagnosed with critical limb ischemia (Rutherford category 5) who were undergoing EVT for isolated infrapopliteal lesi...

A 32-year-old white man presented to the emergency department after suffering a shotgun wound to the left lower extremity. He reports assault at point-blank range with a gun of unknown gauge while lying in the prone position. He was transported to the emergency department by emergency medical services personnel who started the use of peripherally inserted intravenous catheters and applied press...