Horizon Scanning in Lower Extremity Wound Management

Lower Extremity Shotgun Wound

A 32-year-old white man presented to the emergency department after suffering a shotgun wound to the left lower extremity. He reports assault at point-blank range with a gun of unknown gauge while lying in the prone position. He was transported to the emergency department by emergency medical services personnel who started the use of peripherally inserted intravenous catheters and applied press...

Interprofessional education in lower extremity wound care

Background: Wound care has often been perceived to be the domain of the nurse, yet other professions are taking a lead in this specialist area of clinical practice. Podiatrists assess, manage and evaluate the care of lower limb conditions including lower extremity wounds. It is essential that nurses and podiatrists develop partnerships and close working relationships to ensure that patients rec...

An effective method for enhanced lower extremity wound healing

Tissue expansion is an important technique for reconstruction of soft tissue defects. It is commonly used in the care of burns, breast reconstruction and pediatric plastic surgery. The phenomenon of tissue expansion is well known and observed in pregnancy. Skin expands in response to tension generated by the increased abdominal volume during pregnancy. This response has been found to be a metab...

Evaluation and Management of Lower-Extremity Ulcers.

n engl j med 378;3 nejm.org January 18, 2018 301 previous trials. A pooled analysis of data from individual patients will be informative for parsing out the effects of including versus not including glycoprotein IIb/IIIa inhibitors in the heparin control group; the use of heparin in the bivalirudin group; the effect of a postprocedural bivalirudin infusion (and different doses); outcomes with r...

Gastrocnemius Muscle Flap and Its Application in Lower Extremity Reconstruction