diabetic foot ulcerations - kerecis...diabetic foot ulcerations bert altmanshofer, dpm...
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My Kerecis Experience: Diabetic Foot Ulcerations
Bert Altmanshofer, DPMTrans-Atlantic Wound Care Solutions, LLC
Reykjavik, IcelandSeptember 21, 2018
Case 1 - S.B.
● 55 yoa, white, ♀
● DM, type 1
● Poorly compliant
● Past treatment includes partial fifth metatarsal/fifth digit amputation
● Failed delayed primary closure
≈ October 2013
≈November 2015
14 June 2016
14 June 2016
10 October 2016
3 March 2017
11/10/16 11/21/16
11/21/16 11/30/16
01/12/17 01/26/17
03/01/17
Case 2 - D.N.
● 86 yoa, white, ♂
● DM, type 2
● Poor compliance factors including dementia, gait alteration, self-sustained
contusions from walker, history of falls
● Ulceration with subcutaneous fat exposure
12/09/16 12/15/16
12/22/16 01/25/17
02/27/17
Case 3 - H.W.
● 64 yoa, white, ♂
● DM type 2
● Gait limited by Charcot Marie Tooth disease and profound diabetic neuropathy
● Gait challenges with articulated AFO
● Poor compliance
12/09/16 12/14/16
01/05/17 01/16/17
01/16/17 02/22/17
02/22/17 02/22/17
02/27/17 02/27/17
02/27/17 02/27/17
03/03/17 03/03/17
03/03/17 03/03/17
03/03/17 03/03/17
Case 4 - S.W.
● 66 yoa, obese, white, ♂
● DM type 2
● Co-morbidities include obesity, CHF, DM PVD, chronic anticoagulant use,
history of toe amputations
● Marked venous stasis
● Challenging plantar calcaneal ulcer
01/17/17 01/27/17
01/27/17 01/27/17
01/27/17 02/08/17
02/27/1702/27/17
03/03/17 03/03/17
03/03/17 03/03/17
Case 5 - J.G.
● 45 yoa, white, ♂
● DM type 2
● Poor compliance
● Post neurosurgical gait challenges/changes
01/10/1701/10/17
01/26/1701/26/17
02/14/17 02/14/17
02/22/17 02/22/17
02/27/1702/27/17
02/27/17 03/03/17
03/03/17 03/03/17
03/03/1703/03/17
03/03/17
Biomechanical Considerations
● Insole/shoe cutout
● Off-loading boots
● Bracing systems
● Crutches
● Full-contact casting
Rolling knee walker
Takk
Northern Lights Select CasesBert Altmanshofer, DPM
TransAtlantic Wound Care Solutions, LLC
Reykjavik, IcelandSeptember 21, 2018
July 13, 2018
July 17, 2018
August 24, 2018
August 24, 2018
August 28, 2018
Þakka þér fyrir
August 31, 2018