1/12. Augmentation of wound healing using monochromatic infrared energy. Exploration of a new technology for wound management.The results presented in this paper document healing of different types of extremity wounds with 890 nanometer (nm) monochromatic infrared energy. Recalcitrant dermal lesions, including venous ulcers, diabetic ulcers, and a wound related to scleroderma, were treated with a food and Drug Administration-cleared infrared device. The infrared protocol was instituted after conventional management protocols were shown to be ineffective. The rate and quality of healing of these previously refractory wounds, following use of monochromatic infrared energy, may be related to local increases in nitric oxide concentration. Increases in nitric oxide previously have been demonstrated to correlate with vasodilatory and anabolic responses. Further research is needed to confirm the results found in these patients.- - - - - - - - - - ranking = 1keywords = diabetic (Clic here for more details about this article) |
2/12. Contreet Foam and Contreet Hydrocolloid: an insight into two new silver-containing dressings.in vitro laboratory tests and preliminary clinical trials have found that two silver-containing dressings, Contreet Foam and Contreet Hydrocolloid, promote healing in infected and chronic venous leg ulcers and diabetic foot ulcers.- - - - - - - - - - ranking = 1keywords = diabetic (Clic here for more details about this article) |
3/12. The use of maggots as a new treatment in the community.Since maggots were reintroduced into modern wound management practice, published papers have described their mode of action in the treatment of wounds such as pressure sores and leg ulcers (Thomas et al, 1996a; Thomas et al, 1996b), diabetic ulcers (Jones and Thomas, 2000; Johnson, 1999; Murray and Benbow, 1999; Rayman et al, 1998; Evans, 1997; Mumcuoglu et al, 1997; Thomas et al, 1996a), traumatic injuries (Thomas et al, 1996b), burns (Namias et al, 2000) and surgical wounds (fear et al, 2003; Jones and Champion, 1998; Young, 1997).- - - - - - - - - - ranking = 1keywords = diabetic (Clic here for more details about this article) |
4/12. Anterior subluxation after reduction of a posterior traumatic sterno-clavicular dislocation: a case report and a review of the literature.Sternoclavicular dislocations represent a rare injury. Based on our clinical experience with a patient showing an anterior subluxation after reduction of a posterior traumatic dislocation, we review the literature. The emergent reduction of the dislocation is mandatory, always keeping in mind the potentially devastating neurovascular complications. If the treatment of a residual anterior instability remains controversial, a residual posterior instability should be treated by a surgical procedure. The optimal treatment depends mainly on each surgeon's choice and practice.- - - - - - - - - - ranking = 18.238908152933keywords = vascular complication (Clic here for more details about this article) |
5/12. Microvascular anastomosis through the tibial tunnel: a new technique in free-tissue transfer to the leg.Free-tissue transfer to a severely traumatized leg has a high rate of vascular complications. We present three successful cases using a new technique of microvascular anastomosis through the tibial tunnel. Because of the unavailability of anterior tibial artery due to posttraumatic vascular disease, donor vascular pedicles were passed posterior to the tibia through the tibial tunnel and anastomosed to the posterior tibial artery or its branch in an end-to-end fashion. The flaps survived perfectly, without any vascular complication. This technique represents a safe route, and the shortest route, to an expected anastomosis point. Our technique is indicated especially in cases with a single-vessel leg.- - - - - - - - - - ranking = 36.477816305866keywords = vascular complication (Clic here for more details about this article) |
6/12. A collaborative care approach to complex diabetic foot ulceration.This article highlights the complex issues that surround the management of diabetic foot ulceration. It describes how the disciplines of podiatry and tissue viability came together to care for a patient who required complex wound management. The importance of collaborative working is highlighted, which has been shown to reduce amputation rates by 50% (Edmonds, 2002). Through exploration of a case study, certain issues emerged--wound infection, wound management, psychosocial factors and teamworking--and these are discussed. The link between diabetic foot ulceration and amputation is explored and the argument put forward that amputation should have been the first choice for this patient bearing in mind that 30% of amputees lose their second leg within 5 years (Geary, 2002).- - - - - - - - - - ranking = 6keywords = diabetic (Clic here for more details about this article) |
7/12. Emergence of cefotaxime resistance in citrobacter freundii causing necrotizing fasciitis and osteomyelitis.We present a diabetic patient with necrotizing fasciitis caused by citrobacter freundii associated with an injury from the fish fin. Two isolates recovered six days after cefotaxime treatment had a cefotaxime minimum inhibitory concentration (MIC) of 0.12 and 256 mg/L, respectively, and a cefepime MIC of 0.03 and 0.25 mg/L, respectively. The two isolates both possessed bla(CMY-2) gene. The patient responded unsatisfactorily to cefotaxime and cefepime therapy and surgical debridement but recovered completely after ertapenem treatment for 42 days.- - - - - - - - - - ranking = 1keywords = diabetic (Clic here for more details about this article) |
8/12. Experience with the use of apligraf to heal complicated surgical and nonsurgical wounds in a private practice setting.Apligraf is supplied as a ready-to-use living fibroblast and keratinocyte bilayer in culture. This therapy has been shown to facilitate healing of venous ulcers and diabetic foot ulcers. Several case reports suggest that Apligraf may also be effective in healing acute excisional wounds and complicated surgical defects. Apligraf can, in appropriate settings, be used as an alternative to autografts, avoiding the morbidity of donor site wounds. The present case review summarizes outcomes in 16 patients with 18 complicated surgical and nonsurgical wounds treated with Apligraf, which was meshed or fenestrated as needed to obtain better wound coverage and to allow drainage. Of 16 patients, 15 (94%) experienced complete healing (16 of 18 wounds; 89%). Both surgical and nonsurgical wounds responded well, with healing times ranging from 21 to 550 days. patients generally stated that they were satisfied with their degree of healing and with the opportunity to avoid the surgical procedures associated with autograft donor sites.- - - - - - - - - - ranking = 1keywords = diabetic (Clic here for more details about this article) |
9/12. Management of wounds in the diabetic foot.Current management of wounds in the diabetic foot is detailed. A thorough initial clinical examination and non-invasive tests can give baseline values and provide valuable information about limb and foot circulation. The approach detailed involves limited amputation and preservation of as much of the weight-bearing surface as possible.- - - - - - - - - - ranking = 5keywords = diabetic (Clic here for more details about this article) |
10/12. An effective method of treating long-enduring wounds and ulcers by topical applications of solutions of nutrients.A safe and effective method of improving repair and controlling infection of wounds is presented. It consists of debridement daily and application topically of a balanced solution of salts, amino acids, a high-molecular weight, D-glucose polysaccharide, and ascorbic acid. Wounds of several causes were treated, namely, second- and third-degree thermal burns, decubitus, varicose, and stasis ulcers, and diabetic lesions. Local infection was controlled early and the majority of the cases responded with quick formation of highly vascular, smooth, infection-free granulation tissue and centripetal epithelial growth. Small- and medium-sized lesions healed spontaneously in 4 to 8 weeks. Larger lesions were readily managed with autografts of skin as soon as satisfactory beds were obtained.- - - - - - - - - - ranking = 1keywords = diabetic (Clic here for more details about this article) |
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