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Flexor Tendon Tenotomy in Diabetic Toe Ulcers: Evidence and Clinical Application. 屈肌腱肌腱切开术治疗糖尿病足溃疡：证据和临床应用。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 Epub Date: 2026-01-16 DOI: 10.1016/j.cpm.2025.12.009
Klaus Kirketerp-Møller, Vilayvanh Saysoukha
{"title":"Flexor Tendon Tenotomy in Diabetic Toe Ulcers: Evidence and Clinical Application.","authors":"Klaus Kirketerp-Møller, Vilayvanh Saysoukha","doi":"10.1016/j.cpm.2025.12.009","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.12.009","url":null,"abstract":"<p><p>Flexor tendon tenotomy (FTT) is a minimally invasive surgical procedure for neuropathic toe-tip ulcers in diabetes, caused by claw and hammer toe deformities. By transecting the flexor digitorum longus tendon, FTT reduces distal plantar pressure, promotes healing, and prevents recurrence. Evidence from cohorts, systematic reviews, and randomized trials shows healing rates greater than 90% with rapid closure and fewer recurrences than conservative offloading. Complications are minor, though long-term risks of new ulcers and amputations remain. FTT is guideline-endorsed (IWGDF 2023) as an effective treatment and preventive strategy within multidisciplinary diabetic foot care.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 2","pages":"219-224"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diabetes Update: What You Need to Know! 糖尿病更新：你需要知道的！
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 Epub Date: 2026-01-14 DOI: 10.1016/j.cpm.2025.12.017
Brandon M Brooks, Bijan Najafi, David G Armstrong
{"title":"Diabetes Update: What You Need to Know!","authors":"Brandon M Brooks, Bijan Najafi, David G Armstrong","doi":"10.1016/j.cpm.2025.12.017","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.12.017","url":null,"abstract":"","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 2","pages":"xv-xvi"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Behavior Change in the Diabetic Foot: A Primer. 糖尿病足的行为改变：入门。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 Epub Date: 2026-01-16 DOI: 10.1016/j.cpm.2025.12.016
Areti Dimitriadou, Brandon M Brooks, David G Armstrong
{"title":"Behavior Change in the Diabetic Foot: A Primer.","authors":"Areti Dimitriadou, Brandon M Brooks, David G Armstrong","doi":"10.1016/j.cpm.2025.12.016","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.12.016","url":null,"abstract":"<p><p>Diabetic foot complications are often preventable with consistent self-care and early intervention, yet adherence remains low. This article explores how behavior change models, psychological insights, and practical clinical strategies can support patient engagement and reduce ulcer recurrence. Using real-world case vignettes and evidence-based techniques, podiatrists are empowered to foster collaborative, long-term care grounded in behavioral science.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 2","pages":"303-313"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
American Limb Preservation Society, Diabetic Foot Conference, and More: How to Get Involved in Limb Preservation. 美国肢体保存协会，糖尿病足会议，以及更多：如何参与肢体保存。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 Epub Date: 2026-01-23 DOI: 10.1016/j.cpm.2025.12.011
Ame Xiong, Syeda Roshan, Stephanie C Wu
{"title":"American Limb Preservation Society, Diabetic Foot Conference, and More: How to Get Involved in Limb Preservation.","authors":"Ame Xiong, Syeda Roshan, Stephanie C Wu","doi":"10.1016/j.cpm.2025.12.011","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.12.011","url":null,"abstract":"<p><p>Limb preservation refers to the prevention of major amputations through a multidisciplinary approach to limb-threatening conditions. Successful limb preservation depends on interdisciplinary collaboration among clinicians who not only share the goal of preventing limb loss but also understand and respect each other's expertize and roles in patient care. Joining organizations dedicated to limb preservation creates synergistic opportunities for professional development and networking. This is critical because effective limb preservation cannot occur in isolation, as evidenced by multidisciplinary teams achieving at least 76% reductions in major amputations. Organizations provide strategic pathways to build the collaborative networks essential for optimal patient outcomes.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 2","pages":"241-251"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging the Gap: Collaborative Care Models Between Podiatrists and Certified Diabetes Care and Education Specialists to Improve Outcomes in Diabetes-Related Foot Complications. 弥合差距：足科医生和认证糖尿病护理和教育专家之间的合作护理模式，以改善糖尿病相关足部并发症的结局。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI: 10.1016/j.cpm.2025.12.014
Gary M Rothenberg, Rosemay Michel, Kellie Rodriguez
{"title":"Bridging the Gap: Collaborative Care Models Between Podiatrists and Certified Diabetes Care and Education Specialists to Improve Outcomes in Diabetes-Related Foot Complications.","authors":"Gary M Rothenberg, Rosemay Michel, Kellie Rodriguez","doi":"10.1016/j.cpm.2025.12.014","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.12.014","url":null,"abstract":"<p><p>This article reviews collaborative care models integrating podiatrists and certified diabetes care and education specialists (CDCESs) to prevent and manage diabetes-related foot complications. By combining podiatric expertise in lower extremity assessment and intervention with CDCES-led self-management education, these interdisciplinary approaches improve outcomes such as ulcer prevention, limb preservation, and health care cost savings. The article discusses barriers to effective collaboration and outlines clinical, educational, and policy strategies to enhance integrated care. Expanding access to these models and addressing implementation challenges will be critical for improving limb preservation and quality of life among people with diabetes.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 2","pages":"275-286"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postoperative Pain Management Considerations in Patients with Type 2 Diabetes Mellitus. 2型糖尿病患者术后疼痛处理的考虑。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 Epub Date: 2026-01-14 DOI: 10.1016/j.cpm.2025.12.006
Ashley M Nettles, Chia-Ding Shih, Brandon M Brooks
{"title":"Postoperative Pain Management Considerations in Patients with Type 2 Diabetes Mellitus.","authors":"Ashley M Nettles, Chia-Ding Shih, Brandon M Brooks","doi":"10.1016/j.cpm.2025.12.006","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.12.006","url":null,"abstract":"<p><p>It is not uncommon for a patient to judge the success or failure of a surgical procedure by the pain or lack thereof that they experience during the postoperative period. Limb preservation surgery affects more than 160,000 Americans annually; many of these patients suffer from diabetes mellitus and have altered protopathic and epicritic sensation. However, diabetes mellitus and depressive symptoms are bidirectionally associated, and depression is a risk factor for opioid misuse. Appropriate pain management in this population can be complex and often requires a \"patient-centric and procedure-focused\" analgesic prescribing approach to optimize outcomes.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 2","pages":"189-194"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Walking the Line: How Social Forces Shape Diabetic Foot Outcomes in the Texas Rio Grande Valley. 行走路线：社会力量如何塑造德克萨斯里约热内卢格兰德山谷的糖尿病足结局。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI: 10.1016/j.cpm.2025.12.015
Amanda L Killeen, Stephanie N Campbell, Naomie Jean, Juan Carlos Lopez Alvarenga, Xuan Wang, Cyaandi R Dove, Caroline E Fife
{"title":"Walking the Line: How Social Forces Shape Diabetic Foot Outcomes in the Texas Rio Grande Valley.","authors":"Amanda L Killeen, Stephanie N Campbell, Naomie Jean, Juan Carlos Lopez Alvarenga, Xuan Wang, Cyaandi R Dove, Caroline E Fife","doi":"10.1016/j.cpm.2025.12.015","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.12.015","url":null,"abstract":"<p><p>Diabetes in the Rio Grande Valley is highly prevalent, with nearly one-third of adults affected and rates of foot ulcers and amputations far exceeding state and national averages. Outcomes are strongly shaped by social drivers of health, including poverty, uninsurance, limited education, transportation barriers, and distance from specialty care, which delay treatment and increase complications. Living conditions in colonias further amplify risk, while gaps in social driver of health measurement hinder targeted interventions. Leveraging ZIP code-level data within electronic health records offers actionable pathways to reduce disparities, prevent amputations, and improve equity in care.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 2","pages":"287-301"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benefits of Multi-Disciplinary Limb Preservation Teams. 多学科肢体保存小组的益处。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 DOI: 10.1016/j.cpm.2025.12.010
Deepali Darji, Kyle E Wamelink, Samantha D Minc, Faye Farber, Meghan B Brennan, Tze-Woei Tan, Katharine L McGinigle
{"title":"Benefits of Multi-Disciplinary Limb Preservation Teams.","authors":"Deepali Darji, Kyle E Wamelink, Samantha D Minc, Faye Farber, Meghan B Brennan, Tze-Woei Tan, Katharine L McGinigle","doi":"10.1016/j.cpm.2025.12.010","DOIUrl":"10.1016/j.cpm.2025.12.010","url":null,"abstract":"<p><p>Diabetes-related foot complications pose a growing global health challenge, often leading to limb loss. Multidisciplinary limb-preservation teams-comprising podiatrists, vascular surgeons, infectious disease specialists, hospitalists, and endocrinologists-have been shown to significantly reduce amputation rates and improve patient outcomes. These teams coordinate care through early diagnosis, revascularization, infection control, wound care, and medical optimization. Patient engagement, quality of life, and system-level efficiencies improve with this model. Despite barriers like fragmented care and geographic disparities, integrated teams, telehealth, and emerging technologies like AI and smart devices offer scalable solutions for better outcomes in diabetic limb preservation and overall patient well-being.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 2","pages":"225-240"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Biomarkers in Diabetic Foot. 糖尿病足的生物标志物。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 Epub Date: 2026-01-14 DOI: 10.1016/j.cpm.2025.12.007
Hojin Lee, Alexandra Brown, Garneisha M Torrence, Gary M Rothenberg, Christopher Girgis, Noreen Anwar, Crystal M Holmes, Brian M Schmidt
{"title":"Biomarkers in Diabetic Foot.","authors":"Hojin Lee, Alexandra Brown, Garneisha M Torrence, Gary M Rothenberg, Christopher Girgis, Noreen Anwar, Crystal M Holmes, Brian M Schmidt","doi":"10.1016/j.cpm.2025.12.007","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.12.007","url":null,"abstract":"<p><p>Diabetes mellitus affects nearly 600 million adults worldwide and frequently leads to complications such as diabetic foot ulcers (DFU), driven by neuropathy, ischemia, infection, and impaired wound healing. Biomarkers have emerged as essential tools to improve early diagnosis, risk stratification, and management. Inflammatory markers like CRP, IL-6, and TNF-α, along with oxidative stress indicators such as MDA and 8-OHdG, highlight chronic inflammation and cellular damage in nonhealing wounds. Wound surface area trends and metabolic markers-including HbA1c, fasting glucose, and CGM metrics-further guide prognosis.Integrating these biomarkers may enable personalized interventions and reduce DFU-related morbidity and amputation risk.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 2","pages":"195-209"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Way of the Recession: Surgical Off-loading via Intramuscular Fascial Lengthening in the Diabetic Foot. 退行之道：通过肌内筋膜延长手术减轻糖尿病足的负重。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI: 10.1016/j.cpm.2025.12.005
Savannah Santiago, Patrick DeHeer, Bijan Najafi
{"title":"The Way of the Recession: Surgical Off-loading via Intramuscular Fascial Lengthening in the Diabetic Foot.","authors":"Savannah Santiago, Patrick DeHeer, Bijan Najafi","doi":"10.1016/j.cpm.2025.12.005","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.12.005","url":null,"abstract":"<p><p>Diabetic foot ulcers are a common and devastating complication of diabetes, often linked to equinus deformity, which raises plantar forefoot pressures and impairs healing. Conservative strategies like casting and orthoses are first-line but limited by high recurrence and compliance challenges. Surgical off-loading procedures-Achilles tendon lengthening, gastrocnemius recession, and lesser tendon recessions-target the root biomechanical cause and demonstrate superior durability in ulcer prevention. Evidence, including research by Laborde and others, supports their role in healing neuropathic and Charcot-related ulcers. While complications such as transfer ulceration remain, careful patient selection and precise technique optimize outcomes and limb preservation.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 2","pages":"179-187"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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