Lower Extremity Review
The concept of foot temperature monitoring to identify areas of increased risk of ulceration in patients with diabetes is promising, but new research from the Netherlands suggests clinical use of the technology will require more than a single temperature assessment.
By Keith Loria
Lower extremity muscle force during gait differs significantly among patients with diabetic neuropathy, patients with diabetes but no neuropathy, and controls, according to research from Brazil that underscores the importance of maintaining proximal muscle function in patients with diabetes.
By Jordana Bieze Foster
Glycemic variability—fluctuations in HbA1c level from one visit to another—is significantly associated with foot ulcer healing time in patients with diabetes, according to research from the UK.
By Jordana Bieze Foster
New research from the Temple University School of Podiatric Medicine in Philadelphia, PA, raises questions about the clinical utility of assessing cuboid height to determine risk of midfoot ulcer development in patients with Charcot neuroarthropathy.
By Keith Loria
Surgical correction of midtarsal deformities related to Charcot neuroarthropathy can have a high success rate, but patient comorbidities should be carefully considered, according to research presented in July at the annual meeting of the American Orthopaedic Foot & Ankle Society in Seattle.
By Jordana Bieze Foster
Statin use may be protective against diabetic foot infection, according to research from Iran published in the July issue of Wounds.
By Jordana Bieze Foster
Most practitioners are aware that diabetic foot ulcers have a high recurrence rate, but might be surprised by findings epublished in April suggesting a relatively large number of subsequent ulcers occur at new locations, including the contralateral foot.
By Stephanie Kramer
Shoelace closure technique can affect plantar thermal stress response (TSR) in patients with diabetic peripheral neuropathy, according to a study from Baylor College of Medicine in Houston, TX, that has implications for foot ulcer prevention.
By Jordana Bieze Foster
The prevalence of diabetic peripheral neuropathy at a free clinic in rural South Carolina is significantly higher than averages reported in the literature, according to findings that underscore the need to improve diabetes education and foot care in underserved populations.
By Jordana Bieze Foster
Postural instability in patients with diabetic foot ulcers is a strong predictor of poor adherence to off-loading treatment with removable devices, according to a new multicenter study in which off-loading adherence was, in turn, a strong predictor of wound healing.
By Larry Hand
Gait mechanics in patients with diabetic foot ulcers differ from those of both healthy controls and patients with diabetes who have no history of foot ulcer, according to research from James Cook University in Queensland, Australia.
By Jordana Bieze Foster
Obtaining an initial magnetic resonance imaging (MRI) scan prior to first ray amputation in patients with diabetes is significantly associated with a decrease in mortality rate but not reamputation rate, according to research from Staten Island, NY.
By Jordana Bieze Foster
Patients with diabetic neuropathy and hallux rigidus (HR) undergoing partial amputation of the hallux are 7.7 times more likely to need reamputation than their counterparts without HR, according to research from Georgetown University in Washington, DC.
Nearly two thirds of patients with diabetic foot osteomyelitis heal with medical management alone, with patients with metatarsal site infection most likely to require amputation, according to research from the UK.
Diabetic foot ulcers (DFUs) cost $8.78 billion per year in emergency department (ED) care and subsequent inpatient admissions, with the rural poor at particularly high risk for serious complications, according to…
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