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Journal of the American Podiatric Medical Association, Vol 90, Issue 2 57-65, Copyright © 2000 by American Podiatric Medical Association

JOURNAL ARTICLE

The potential benefits of advanced therapeutic modalities in the treatment of diabetic foot wounds

J Hogge, D Krasner, H Nguyen, LB Harkless and DG Armstrong
Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7776, USA.

This article discusses the advantages and disadvantages of primary wound healing as compared with primary amputation in individuals with chronic diabetic foot wounds. The authors review the potential benefits of vascular surgical procedures and advanced dressings, including two of the most promising modalities in modern wound care: growth factors and bioengineered skin. In this era of cost-conscious health-care administration, it is incumbent on the practitioner to consider not only the basic science of wound care, but also the economic aspect of treatment rendered. These various interventions, dressings, growth factor delivery systems, and new modalities could significantly reduce healing time, thereby reducing the risk of infection, hospitalization, and amputation while improving quality of life. If so, they may be truly cost-effective.


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B. A. Lipsky, A. R. Berendt, H. G. Deery, J. M. Embil, W. S. Joseph, A. W. Karchmer, J. L. LeFrock, D. P. Lew, J. T. Mader, C. Norden, et al.
Diagnosis and Treatment of Diabetic Foot Infections
J Am Podiatr Med Assoc, March 1, 2005; 95(2): 183 - 210.
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