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Wound cleansing has recently been redefined within the construct of wound hygiene, an early antibiofilm intervention strategy. Wound cleansing, as currently accepted as a standard practice, is an ineffective activity for creating an environment for healthy tissue to develop in the wound bed. The more robust approach of wound hygiene incorporates wound cleansing into a group of activities that immediately changes the tissue health opportunities in the wound bed and periwound area. Attend this session to hear, learn, and incorporate this newer approach for wound hygiene into your clinical practice.

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Joseph Stoffel will share an overview of treating chronic wounds with an antimicrobial wound gel. The presentation will conclude with Dr Barrett sharing his case study.

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Dr Heather Hettrick will solidify the concept of the edema continuum related to the lower extremity. Attend this session to gain confidence that your understanding of edema, its impact with integumentary dysfunction, and its management is as comprehensive as the condition requires.

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Diabetes and diabetic foot ulcers are a growing challenging globally. Join Jessica Pehrson as she discusses the importance of evidence-based patient care for the diabetic patient with a foot ulcer.

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Dr James McGuire will describe why lower extremity wound healing is dependent on the balance between the arterial, venous, and lymphatic systems. Controlling edema is an often-overlooked component in the management of lower extremity wounds. In addition to compression and fluid management dressings, treatment of lymphedema must be addressed to maximize healing potential and improve healing rates. A case for better attention to, and coverage for lymphedema treatment will be made.

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Be available to discuss questions from attendees and the moderator

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Overview of the underlying pathophysiology of diabetic foot disease including epidemiology, risk factors, and current evidence from the literature

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Dr Garoufalis will share his case studies, followed by an application demonstration on a foot model.

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Charles Anderson, MD discusses the role of venous disease in the lower extremity, modalities to diagnose venous disease, as well as available treatment options to address venous disease in order to aid in the healing of venous leg ulcerations.

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James McGuire DPM, PT, LPed discusses basic principles of clinical edemas and describes various vascular tests and imaging that can assist with the diagnosis of fluid movement impairments.

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Wound closure is a complex "systems engineering" process of micro and macro factorial mechanisms. Chronic wounds result when systems encounter breakdowns (lack of basic elements, genetic factors) or barriers (environmental) that impede the teleological appropriate "systems" to complete tissue restoration. This talk will discuss the micro and macro elements that support chronic wound healing.

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Engage with Lynn Peterson as she discusses why evidence-based patient care for VLU patients is an important facet in your practice. Join her at this program focusing on why comprehensive management of the VLU patient is vital.

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Heather Hettrick, PT, PhD, CWS, CLT-LANA, CLWT discusses basic principles of lymphatic pathophysiology and it's clinical significance.

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Michael J Trepal, DPM discusses what a podiatrist can do to help diagnose and treat cardiovascular disease commonly seen in the podiatric patient population.

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This Workshop will provide a detailed review of the mechanism of action and latest clinical evidence for cyclically-pressurized Topical Wound Oxygen (TWO2) therapy.

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Robert Frykberg, DPM MPH discusses diabetic foot pathophysiology as well as reviewing risk factors for infection. Dr Frykberg also takes a look at the proper assessment for infection and reviews the management of diabetic foot infections.

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Lee Rogers, DPM discusses new treatment options available for treatment of chronic diabetic ulcerations. Dr Rogers also describes what is new in extracorporeal shock wave therapy as well as the use of thermography for prevention of re-ulcerations.

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This lecture will outline the factors involved in wound healing and new product options.

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James McGuire, DPM, PT, LPed discusses data that supports the non-removable knee high device as the gold standard for off-loading. Dr McGuire also describes the medical evidence supporting alternative offloading strategies as well as the indications and contraindications of each.

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This presentation will discuss the chronicity of foot ulcers in patients with diabetes and a novel cell/ tissue-based therapy that could accelerate healing. This discussion will include evidence-based studies, case reviews, and a hypothesis of the mechanism of action.

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Join Dr Mantilla to learn about the best practices for negative pressure wound therapy with instillation.

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Charles Anderson, MD discusses techniques available to assess skin perfusion pre-operatively and intra-operatively as well as define the limitations of the different techniques that are used. Dr Anderson also discusses the outcome data demonstrating decreased suture line complications with pre-operative and intra-operative assessment of skin perfusion.

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During the last part of proliferation phase, keratinocytes migrate over the granulating connective tissue and re-establishes the skin integrity. Use of keratin based gel/dressing has shown to be effective during the re-epithelialization process and it leads to timely wound closure.

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Proving the best of care and products for a lower extremity wound can only work if the care is being provided in the home setting. This lecture provides a basic guide to providing education to the lower extremity wound patient and caregiver with the goal of improved outcomes with wound healing.

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This lecture will give you a better understanding of the types of compression are used in lower extremity pathology

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You have seen the compelling clinical and economic data surrounding OxyGeni but, how do you access the therapy? Is the application really that simple? What kind of clinical support can I expect? Join us for a 30 minute session on how to access and apply CDO therapy for your patients in YOUR specific healthcare setting. - VA - Community Providers - IHS - Medicaid We will also review the superior clinical follow up and monitoring you expect from the industry leader in Continuous Diffusion of Oxygen.

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Jarrod Shapiro, DPM demonstrates the relationship between surgery and lower extremity biomechanics. Dr Shapiro also discusses how specific biomechanical principles factor in the choice of surgical procedures.

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This presentation shall outline the unique benefits that topical wound oxygen therapy provides patients suffering from edematous leg ulcers, such as those caused by venous and lymphatic disease. After summarizing the underlying physiologic mechanisms-of-action for oxygen in wound healing, the evidence specific to its clinical benefits in treating venous and other leg ulcers will be explored. The science supporting the use of both Cyclical-Pressure and Continuous Diffusion Topical Oxygen delivery approaches will be reviewed and contrasted as they relate to these patient populations.

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A discussion of new technology for wound care assessment, documentation and evaluation. These Apps are very useful for gathering and retrieving information and for billing. They also assist in making recommendations for wound care treatments, appropriate supplies, and advanced wound care. Telehealth and consultations with wound specialists is also part of the platform .

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This lecture discusses the benefits of applied keratin protein in the treatment of chronic diabetic foot ulcers. Included is a brief literature review outlining the history of keratin use as well as current findings purportedly contributing to its success in expediting the healing of chronic wounds.

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ProMedTek will be presenting Shortwave Diathermy via the Replexa+ Therapy System for the treatment of chronic pain in deep tissue and cases of vascular insufficiency. The Replexa+ Therapy System is FDA cleared, on VA contract and continues to provide care to patients and clinics in need during the pandemic.

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this is a panel discussion of all doctors involved

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Wound care is expensive and uses a lot of healthcare resources in all care environments. Insurance companies and CMS are constantly revising coverage determinations and these policies can make it very difficult to provide care. Lots has been happening in 2020 and we will review the new payment models for home care as well as upcoming changes for the Outpatient Prospective Payment System for 2021.

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Technology is a fast-growing sector of the medical industry. In the world of wound healing this rate of technological growth is no different. The development of these advances happens faster than we can adopt them into practice. We will discuss many new technologies that are currently being utilized in wound care offices and how they can impact your current clinical practice. We will understand the collaboration of all these technologies and how big data is being used to create wound healing algorithms and smart bandages.

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Adequate perfusion is a necessary component to heal a lower extremity ulcer. The most common lower extremity ulcer is a venous leg ulcer. Any swelling around the wound can delay healing. This session will focus on identifying lower extremity edema and methods to reduce it.

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During this session we will review the history and evolution of osseointegration, discussing how research into osseointegration began, where it is going and how it impacts the amputee community. Amputations can result from trauma accidents, cancer, congenital malformations, vascular compromise, and infection. When it involves a lower extremity, the mobility of an individual can be greatly limited. Conventional rehabilitation uses a socket prosthesis, which is fixed to the soft tissue of the remaining residual limb using suction or vacuum. Poor socket fit can create skin irritations, sores, ulcers, chronic inflammation, and pain. Osseointegration utilizes a skeletally integrated titanium implant, which is directly connected to a prosthesis through an opening (stoma) in the skin. The socket component of the traditional prosthesis is no longer required. This allows direct contact to the ground, which provides greater stability, more control, and minimizes energy consumption. Through improvements in implant design, surgical technique, and rehabilitation protocols, osseointegration has come a long way and is considered the state-of-the-art method of amputee reconstruction. Through osseointegration surgery amputees today can live free from chronic skin irritations caused by traditional sockets and enjoy benefits like restored osseoperception and improved proprioception. Growing interest and the ability to demonstrate positive long-term outcomes, it is expected that soon this technology will become an acceptable standard practice worldwide.

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This will be a look into the history and evolution of osseointegration. We will discuss how research into osseointegration began, where it is going and how it impacts the amputee community. Amputations can result from trauma accidents, cancer, congenital malformations, vascular compromise and infection. When it involves a lower extremity, the mobility of an individual can be greatly limited. Conventional rehabilitation uses a socket prosthesis, which is fixed to the soft tissue of the remaining residual limb using suction or vacuum. Poor socket fit can create skin irritations, sores, ulcers, chronic inflammation and pain. Osseointegration utilizes a skeletally integrated titanium implant, which is directly connected to a prosthesis through an opening (stoma) in the skin. The socket component of the traditional prosthesis is no longer required. This allows direct contact to the ground, which provides greater stability, more control, and minimizes energy consumption. Through improvements in implant design, surgical technique and rehabilitation protocols, osseointegration has come a long way and is considered the state-of-the-art method of amputee reconstruction. Through osseointegration surgery amputees today are able to live free from chronic skin irritations caused by traditional sockets and enjoy benefits like restored osseoperception and improved proprioception. Growing interest and the ability to demonstrate positive long-term outcomes, it is expected that in the near future this technology will become an acceptable standard practice worldwide.

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The choice of wound dressings is not a “one size fits all” decision. A thorough assessment of the wound to ascertain local environmental needs is a critical first step. This lecture will focus on goal-based decision making, and discuss which dressing when, for how long, and under what conditions. The amount and character of the drainage will be highlighted as the priority driver of this important decision.

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Dr Christopher Barrett will describe the importance of initiating disposable negative pressure wound therapy sooner, rather than later, along with addressing the economic impact of healing wounds quickly.

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Dr Christopher Bromley will discuss the role diabetes plays in high-risk wound patients. He will differentiate the various risks factors of arterial, venous, and neuropathy foot wounds. Dr Bromley will review wound care principles and current trends including the role total contact cast can play in your treatment plan.

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During this presentation, Dr Rosing will discuss the evolution of drapes and provide an overview of negative pressure wound therapy with instillation, introduce negative pressure wound therapy with instillation utilizing a hybrid drape and share case studies.

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When does management of a DFU end for the provider? When it closes? Three months after closing? Six months later? Never?? Recurrence of the DFU is a well-known problem. We often look to the patient’s non-adherence to their diabetes medical or wound management care plans as the reason, yet, is it all the patient’s responsibility? Dr James McGuire will provide guidance to help answer some of these hard questions regarding recurrence and discuss how the COVID-19 lockdown helped many patients decrease the recurrence of these repetitive wounds.

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Respond to questions posed by the audience regarding offloading the DF

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Lee C Rogers, DPM discusses basic principles of the lower extremity complications of diabetes as well as the trends in healthcare changing from treatment to prevention of those complications.

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During this quick, 15-minute presentation, join Dr Traynor as he shares one of his case studies utilizing mechanically powered negative pressure, along with his application tips and tricks.

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Lawrence A Lavery, DPM, MPH discusses ankle equinus and its relationship with high plantar pressure in patients with diabetes mellitus. Dr Lavery also reviews the criteria to select patients for preventative surgery as well as describing the current literature regarding the use of tendoachilles lengthening in patients with plantar ulcerations.

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This lecture will discuss utilizing a therapeutic diode laser using case studies of actual patient treatment results.

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Join Dr Garoufalis as he shares his application tips and tricks, along with a case study treating a patient with a venous leg ulcer utilizing a two-layer compression system.

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A discussion and presentation of recent cases seen by me that involve diabetic infections and how these are managed and treated. Cases presented were seen in October and November of 2020

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This presentation will discuss the operative vs non-operative treatment of acute Achilles tendon ruptures.

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There are several reasons why chronic wounds fail to progress toward healing. Hypoxia features prominently among them. For this reason, assessing tissue oxygenation is a key element in the evaluation of patients with chronic wounds. This lecture will review current technologies used to measure tissue oxygenation and the future of diagnostics in wound healing.

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Dr Jon Bloom will discuss new peer-reviewed research showing the effectiveness of remote temperature monitoring for the prevention of diabetic foot complications and hospitalizations in vulnerable populations.

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Learn about the latest evidence regarding how the flow of humidified oxygen in an oxygen-diffusion dressing affects wound healing, wound closure, and pain relief. We'll be also discussing cutting-edge research about the effect on wounds.

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Review tips, pearls, and pitfalls in imaging of foot and ankle pathologies related to sports. Demonstrate tips to performing ultrasound in various foot and ankle injuries.

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a discussion

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Marlena Jbara, MD discusses the epidemiology and pathophysiology of the diabetic foot. Dr Jbara also reviews international and national guidelines with respect to imaging of the diabetic foot as well as pertinent imaging findings and pitfalls of diabetic foot pathology with regards to X-ray.

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Peripheral arterial disease and osteomyelitis independently place many limbs at risk for amputation. Combined, it is a devastating phenomenon and result in higher major amputation rates. The lecture will review osteomyelitis and the special considerations surrounding its treatment when peripheral arterial disease is present concomitantly.

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Javier Aragon-Sanchez, MD, PhD discusses basic principles of the identifying and treating of diabetic foot infections. Dr Aragon-Sanchez also discusses when it is absolutely necessary for patients to undergo surgery for diabetic foot infections.

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Marlena Jbara, MD reviews current epidemiologic trends and implications related to care and imaging of the diabetic foot as well as current guidelines and pertinent imaging findings related to diabetic foot pathology.

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Lee C Rogers, DPM discusses the etiology, epidemiology, pathogenesis, and histopathology of Charcot foot. Dr Rogers also describes technologies available to evaluate patient’s peak plantar pressures as well as reviewing available imaging studies to help diagnose Charcot neuroarthropathy.

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Nicholas Bevilacqua, DPM discusses the clinical and imaging findings of the Charcot foot. Dr Bevilacqua also discusses formulating a plan to judge if and when surgery is necessary for the treatment of the Charcot foot.

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Dr Napolitano will share his tips and tricks utilizing negative pressure wound therapy with instillation and a hybrid drape, along with his case studies.

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Dane Wukich, MD discusses the basics of Charcot neuroarthropathy including epidemiology, prevalence and the pathophysiology. Dr Wukich also highlights the impact of Charcot on Health Related Quality of Life as well as available treatment options.

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This lecture will identify and discuss the impact of diabetic foot ulcers on a patient's quality of life, and the evidenced-based practices to managing DFUs.

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Stephanie Wu, DPM, MSc discusses the different types of neuropathy and how they each contribute to the development of diabetic foot ulcers.

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Lee C Rogers, DPM discusses the role of pressure in the genesis of wounds and diabetic foot problems. Dr Rogers also reviews common procedures available to reconstruct the diabetic foot as well as list possible complications associated with those procedures.

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Robert Frykberg, DPM, MPH discusses the risks for partial foot amputations in the diabetic foot, as well as describes the indications and techniques for performing a hallux and transmetatarsal amputation.

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Lee Rogers, DPM discusses how diabetes-related amputation rates are calculated, the major causes that contribute to diabetes-related amputations, as well as reviews how to find resources to help prevent diabetes-related amputations.

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This presentation will discuss the techniques available to diagnose and grade the neuroischemic diabetic foot. Dr andersen will also discuss the classification systems utilized to grade neuroischemic feet and the limitations of diagnostic modalities.

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Kerry Zang, DPM discusses the role regenerative medicine has in podiatry, the lower extremity indications, and the latest advancements in regenerative medicine.

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The regeneration of skin and soft tissues are complex mechanisms involving multiple vitamins, minerals, and macro-nutrients. One of the main reasons for the increasing multitude of chronic non healing wounds is due to malnutrition and a lack of nutrient dense foods in our current westernized diets. We will discuss the role that diet, and supplements play in wound healing. We will discuss the need for the proper amounts of protein, carbohydrates, and fats as the basic macronutrients. We will review the current literature on nutrient supplementation and how this can improve wound healing rates.

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The criticism leveled most frequently against practitioners of wound and hyperbaric medicine is a lack of high-quality evidence. In the eyes of mainstream medicine, the wound care community’s over reliance on expert opinion diminishes it as a specialty. Conducting robust clinical trials and comparative effectiveness research will silence the fault-finding critics and improve patient care. In this lecture, Dr Serena will discuss advances in the conduct of wound healing clinical trials. He will provide an overview of trial design and endpoints. In addition, he will outline the steps required to get started in clinical research.

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Biofilm has developed clever biological defenses and strategies to thrive in chronic wounds. Understanding how biofilm is created and matures in wounds is essential to manage its destructive behavior on wound healing. If you can identify and destroy the problematic microorganisms, you will be victorious in the battle with biofilm.

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Biofilm has developed clever biological defenses and strategies to thrive in chronic wounds. Understanding how biofilm is created and matures in wounds is essential to manage its destructive behavior on wound healing. If you can identify and destroy the problematic microorganisms, you will be victorious in the battle with biofilm.