limb loss presentation
DESCRIPTION
Presentation for Central Massachusetts Limb Loss Preservation Group.TRANSCRIPT
Advances In Preventing Amputations
Dr. Donald Pelto
Central Massachusetts Podiatry
Worcester - MA
The Diabetic Foot
Why should I listen? Skin Nerves Bones Blood Vessels Shoes and Socks
Why should I listen?
You or a loved one will probably develop diabetes during your lifetime
1-4% of people with diabetes get ulcers every year and 15-25% will get one in their lifetime
15% of ulcers lead to amputation 85% of amputations start as ulcers 45% of people with an ulcer will die within
5 years
The Diabetic FootSkin
Dry skin Fungal and bacterial
infections Calluses 4 Reasons won’t
heal!!
The Diabetic FootSkin - Advances
VAC Synthetic Skin
Substitute Platelet Rich Plasma
The Diabetic FootSkin
Onychomycosis – A real disease with real consequences
The Diabetic FootSkin - Advances
Nail treatments Topical Oral Laser
The Diabetic FootNerve
Leading cause for ulceration is neuropathy
Semmes Weinstein 5.07 monofilament (10g)
EMG
The Diabetic FootNerve - Advances
Epidermal Nerve Fiber Density
Metanx
The Diabetic FootBone
Charcot Joint Bone Infection
The Diabetic FootBone - Advances
Walking Boot Charcot Surgery
The Diabetic FootBlood Vessels
Edema and Lymphedema
Blood Vessel Studies
The Diabetic FootBlood Vessels - Advances
Silverhawk
The Diabetic FootShoegear - Advances
Socks Shoes What about slippers?
Thank You
Dr. Donald Pelto Central Massachusetts Podiatry 299 Lincoln Street Suite 202 Worcester, MA [email protected]