diabetic foot ulcerations - kerecis...diabetic foot ulcerations bert altmanshofer, dpm...
TRANSCRIPT
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My Kerecis Experience: Diabetic Foot Ulcerations
Bert Altmanshofer, DPMTrans-Atlantic Wound Care Solutions, LLC
Reykjavik, IcelandSeptember 21, 2018
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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
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≈ October 2013
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≈November 2015
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14 June 2016
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14 June 2016
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10 October 2016
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3 March 2017
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11/10/16 11/21/16
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11/21/16 11/30/16
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01/12/17 01/26/17
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03/01/17
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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
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12/09/16 12/15/16
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12/22/16 01/25/17
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02/27/17
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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
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12/09/16 12/14/16
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01/05/17 01/16/17
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01/16/17 02/22/17
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02/22/17 02/22/17
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02/27/17 02/27/17
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02/27/17 02/27/17
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03/03/17 03/03/17
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03/03/17 03/03/17
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03/03/17 03/03/17
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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
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01/17/17 01/27/17
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01/27/17 01/27/17
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01/27/17 02/08/17
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02/27/1702/27/17
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03/03/17 03/03/17
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03/03/17 03/03/17
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Case 5 - J.G.
● 45 yoa, white, ♂
● DM type 2
● Poor compliance
● Post neurosurgical gait challenges/changes
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01/10/1701/10/17
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01/26/1701/26/17
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02/14/17 02/14/17
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02/22/17 02/22/17
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02/27/1702/27/17
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02/27/17 03/03/17
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03/03/17 03/03/17
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03/03/1703/03/17
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03/03/17
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Biomechanical Considerations
● Insole/shoe cutout
● Off-loading boots
● Bracing systems
● Crutches
● Full-contact casting
Rolling knee walker
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Takk
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Northern Lights Select CasesBert Altmanshofer, DPM
TransAtlantic Wound Care Solutions, LLC
Reykjavik, IcelandSeptember 21, 2018
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July 13, 2018
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July 17, 2018
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August 24, 2018
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August 24, 2018
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August 28, 2018
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Þakka þér fyrir
August 31, 2018