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Clinics in podiatric medicine and surgery最新文献

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International Efforts to Improve Limb Salvage. 国际努力改善肢体抢救。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 Epub Date: 2025-07-22 DOI: 10.1016/j.cpm.2025.06.002
David R Campbell, Thanh Thao T Nguyen
{"title":"International Efforts to Improve Limb Salvage.","authors":"David R Campbell, Thanh Thao T Nguyen","doi":"10.1016/j.cpm.2025.06.002","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.002","url":null,"abstract":"<p><p>Diabetic foot complications remain a significant global health challenge, contributing to morbidity and disability. This article chronicles the transformative collaboration between the Beth Israel Deaconess Medical Center (BIDMC) and Vietnamese institutions over 25 years, focusing on training, capacity-building, and the establishment of diabetic foot care centers. Key milestones include advancements in surgical techniques, reduced amputation rates, and the creation of regional diabetic foot care hubs. Challenges encountered and future plans for expanding these efforts are also discussed, highlighting the global implications of these partnerships.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"781-790"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310584","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 Evolution of the Multidisciplinary Approach to the Diabetic Foot. 糖尿病足多学科治疗方法的发展。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 Epub Date: 2025-08-05 DOI: 10.1016/j.cpm.2025.06.001
Kevin L Riemer, John M Giurini
{"title":"The Evolution of the Multidisciplinary Approach to the Diabetic Foot.","authors":"Kevin L Riemer, John M Giurini","doi":"10.1016/j.cpm.2025.06.001","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.001","url":null,"abstract":"<p><p>The multidisciplinary team approach to diabetic foot care has evolved over the past century. This article traces the development of collaborative care models from their origins to their global implementation. Key figures pioneered innovations in surgical techniques and team-based approaches that dramatically reduced amputation rates. The integration of podiatrists within these teams has proven particularly impactful. Contemporary multidisciplinary teams focus on 4 areas: glycemic control, wound management (including surgical reconstruction), vascular intervention, and infection control. This comprehensive team approach has demonstrated the capacity to reduce major amputations by up to 94%.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"585-597"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310662","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
Antibiotic Therapy in the Diabetic Foot. 糖尿病足的抗生素治疗。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 Epub Date: 2025-08-06 DOI: 10.1016/j.cpm.2025.06.013
Leslie Blackshear, Wendy Stead, Mary LaSalvia
{"title":"Antibiotic Therapy in the Diabetic Foot.","authors":"Leslie Blackshear, Wendy Stead, Mary LaSalvia","doi":"10.1016/j.cpm.2025.06.013","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.013","url":null,"abstract":"<p><p>Empiric antimicrobial therapy for diabetic foot infections must be selected with attention to wound severity and patient-specific factors including comorbidities, antibiotic allergies, prior cultures, risk factors for antibiotic-resistant organisms and the local antibiogram. Subsequent therapy can be tailored in spectrum by culture results and its duration informed by surgical approach and pathologic data. After initial clinical improvement, most patients can be transitioned to oral step-down therapy. The duration of treatment for soft tissue infection (STI) is based on the severity of STI and when osteomyelitis is present, whether surgical resection of the involved bone has been performed.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"615-634"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310496","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
Approach to Partial Foot Amputations. 部分足部截肢的治疗方法。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 Epub Date: 2025-07-30 DOI: 10.1016/j.cpm.2025.06.006
Rahul Mishra, Nick Swerdlow, Mark C Wyers
{"title":"Approach to Partial Foot Amputations.","authors":"Rahul Mishra, Nick Swerdlow, Mark C Wyers","doi":"10.1016/j.cpm.2025.06.006","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.006","url":null,"abstract":"<p><p>Diabetes mellitus is a global health concern, with complications such as peripheral neuropathy and peripheral arterial disease (PAD) leading to diabetic foot ulcers, infections, and amputations. Chronic limb-threatening ischemia, a severe form of PAD, further impairs healing and increases amputation risk. Limb-sparing procedures like partial foot amputations aim to preserve mobility and improve outcomes. Neuropathy contributes to unnoticed injuries and poor skin integrity, while abnormal foot biomechanics from deformities increase pressure points, promoting ulcer formation. Early diagnosis, proper wound care, and revascularization are crucial in preventing complications and improving quality of life for diabetic patients.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"669-685"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310591","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
Surgical Offloading in the Diabetic Foot. 糖尿病足的手术减压。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 Epub Date: 2025-07-22 DOI: 10.1016/j.cpm.2025.06.009
Michelle Kung, Barry I Rosenblum
{"title":"Surgical Offloading in the Diabetic Foot.","authors":"Michelle Kung, Barry I Rosenblum","doi":"10.1016/j.cpm.2025.06.009","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.009","url":null,"abstract":"<p><p>Diabetic foot ulcers are severe complications of diabetes resulting in high health care costs and reduced quality of life. Persistent mechanical pressure, neuropathy, foot deformity, and patient comorbidities contribute to the ulcer formation and poor healing. While nonsurgical offloading techniques are common, they are associated with noncompliance, skin irritation, and limited wound assessment capability. Surgical offloading offers a direct approach in reducing and redistributing pressures to promote ulcer healing. Its success depends on proper patient selection, glycemic control, and postoperative care. When combined with multidisciplinary management, surgical offloading plays a pivotal role in promoting healing, reducing infection, and preventing infections.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"657-667"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310635","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
Vascular Intervention for the Diabetic Foot. 糖尿病足的血管干预。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 Epub Date: 2025-07-22 DOI: 10.1016/j.cpm.2025.06.012
Michael Ciaramella, Jeremy Darling, Lars Stangenberg
{"title":"Vascular Intervention for the Diabetic Foot.","authors":"Michael Ciaramella, Jeremy Darling, Lars Stangenberg","doi":"10.1016/j.cpm.2025.06.012","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.012","url":null,"abstract":"<p><p>This article details an evidence-based framework for decision-making and management of patients with chronic limb threatening ischemia (CLTI) and diabetes mellitus requiring vascular intervention in the context of a multidisciplinary limb salvage team. Emphasis is placed on utilization of modern clinical limb staging systems such as the Wound, Ischemia, and Foot Infection classification to stratify limb risk and follow evidence-based management strategies. For patients presenting with a first-time manifestation of CLTI who have suitable single segment great saphenous vein and are of acceptable surgical risk, strong consideration should be given to a bypass-first approach to vascular intervention.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"721-742"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310646","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
Charcot Reconstruction: Internal Fixation. Charcot重建：内固定。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 Epub Date: 2025-07-25 DOI: 10.1016/j.cpm.2025.06.008
John T Marcoux, Stacy Peralta
{"title":"Charcot Reconstruction: Internal Fixation.","authors":"John T Marcoux, Stacy Peralta","doi":"10.1016/j.cpm.2025.06.008","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.008","url":null,"abstract":"<p><p>Charcot neuroarthropathy is a condition characterized by progressive joint dislocation and bone fragmentation, which if not managed early with off-loading, often results in the destruction of the normal foot architecture, an unstable foot deformity and development of neuropathic ulceration. It is most frequently seen in patients with diabetes mellitus; however the clinician should also consider this diagnosis in patients who develop peripheral neuropathy due to chemotherapy, alcoholism, and infectious diseases such as syphilis, leprosy, and human immunodeficiency virus. This article aims to demonstrate the core principles of Charcot reconstruction using internal fixation and super construct techniques.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"687-701"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310513","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
Microcirculation of the Diabetic Foot. 糖尿病足的微循环。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 DOI: 10.1016/j.cpm.2025.06.005
Hau T Pham, Aristidis Veves, Rongxiang Xu, Thomas Lyons
{"title":"Microcirculation of the Diabetic Foot.","authors":"Hau T Pham, Aristidis Veves, Rongxiang Xu, Thomas Lyons","doi":"10.1016/j.cpm.2025.06.005","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.005","url":null,"abstract":"<p><p>The National Diabetes Statistics in 2021 estimated that 38.4 million people have diabetes. The lifetime risk of developing a foot ulcer in patients with diabetes is more than 33%. About two-thirds of diabetic foot ulcers will eventually heal, but approximately 28% may result in some form of lower extremity amputation. Advanced wound care products, offloading techniques, minor surgeries, and revascularizations still leave wounds unhealed and require amputation. Research has pointed out that the dysfunction in the microcirculation may contribute to these failures. This article discusses techniques to evaluate and manage these microcirculation dysfunctions.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"599-614"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310548","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
External Fixation for Charcot Reconstruction. Charcot重建的外固定支架。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 DOI: 10.1016/j.cpm.2025.06.007
Elena Manning, Michelle Kung
{"title":"External Fixation for Charcot Reconstruction.","authors":"Elena Manning, Michelle Kung","doi":"10.1016/j.cpm.2025.06.007","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.007","url":null,"abstract":"<p><p>Charcot arthropathy is a progressive and destructive condition most commonly affecting the foot and ankle in patients with neuroarthropathy. This article provides a comprehensive overview of external fixation as a surgical modality in the treatment of Charcot deformity and explores different external fixation constructs including static circular frames, hexapod systems, and hybrid configurations. The article also outlines perioperative planning, postoperative protocols, and complication management while emphasizing the importance of patient education, glycemic control and interdisciplinary care to achieve limb salvage and functional restoration.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"703-719"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310543","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
Advanced Wound Therapies. 高级伤口疗法。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 DOI: 10.1016/j.cpm.2025.06.003
R G Frykberg, John H Speight
{"title":"Advanced Wound Therapies.","authors":"R G Frykberg, John H Speight","doi":"10.1016/j.cpm.2025.06.003","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.003","url":null,"abstract":"<p><p>This article aims to guide practitioners through the evolving field of wound therapies, highlighting recent innovations with positive outcomes and potential. Therapies surveyed include silver products, negative pressure wound therapy, oxygen therapies (including hyperbaric oxygen and topical oxygen therapy), and skin substitutes. The article summarizes the benefits and risks associated with each and provides practical advice on their use for practitioners.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"635-645"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310473","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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