Category Archive: Osteomyelitis

April 18, 2016

German patients hospitalized with diabetic foot syndrome had higher amputation and mortality rates vs. patients hospitalized with peripheral artery disease, according to recent study findings. Nasser M. Malyar, MD, of the division of vascular medicine, department of cardiovascular medicine at University Hospital Muenster, Germany, and colleagues analyzed insurance data from 40,335 patients

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Is Procalcitonin An Effective Marker For Osteomyelitis? SALSA protagonist, DG Armstrong opines.

December 26, 2015

One of the big problems in diabetes and the diabetic foot is distinguishing whether there is an active bone infection and subsequently ascertaining the severity of that bone infection. For the first part of that clinical conundrum, we have used a number of different lab values and other tools in the past. Source: Is Procalcitonin An Effective Marker For Osteomyelitis? | Podiatry Today

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Treating the Diabetic Foot: No easy feat.

May 30, 2014

Diabetes complications could lead to surgical site infection   Wukich DK. J Bone Joint Surg Am. 2014. doi: 10.2106/JBJS.L.01302.   Facebook Tweet inShare May 28, 2014 Diabetes complications were significantly associated with higher rates of site infection following foot and ankle surgery, according to a recent study. See Also Study: Repeat skin antisepsis after surgical draping may … Opiates and infection: Another reason to avoid them … Antibiotic prophylaxis type, length of surgery among factors … Researchers evaluated 2,060 consecutive surgical…

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More from Frykberg’s High Risk Foot Clinic

March 13, 2014

  A Case From the High Risk Foot Clinic: Part 1 Just when you thought it would heal…       Robert Frykberg DPM, MPH PRESENT RI Editor Diabetic Limb Salvage Just when you think you’ve achieved success, the diabetic foot has a tendency to fool you.  After many years of dealing with thousands of diabetic foot complications, I am always humbled by the challenges managing such disorders present to us.  Even ostensibly straightforward problems can succumb to Murphy’s Law –…

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Treating Osteomyelitis: Lipsky puts things in perspective….prescription still needs adjustment.

March 13, 2014

The Best Way to Treat Osteomyelitis Are antibiotics or conservative surgery better for treating diabetic foot osteomyelitis?… The term "osteomyelitis" was first coined in 1844; until the invention of penicillin, the primary cure for osteomyelitis was amputation. Osteomyelitis is defined as an infection of the bone; 34% of patients who get osteomyelitis have significant peripheral vascular disease. In diabetic populations, a foot infection or foot ulcers may further lead to the spread of the infection to neighboring tissues and bones. Bone…

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Osteomyelitis by Frykberg: Part2

January 15, 2014

Osteomyelitis: Diagnostic Clues from a Clinician Part 2 Last month, we discussed the simple clinical diagnosis of osteomyelitis – if there can really be such a thing for this often misdiagnosed complication. I suppose the most important thing in making the diagnosis is to have a high degree of clinical suspicion for it, especially in long standing or deep ulcers.  As I've stated before, those wounds that do not heal despite good basic wound care for a period of time (at least 4…

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