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This talk will give a general overview of the most recent IWGDF wound care guidelines as well as those contained in the 2023 ADA Standards of Care in Diabetes. Recognizing the need for all practitioners to remain current with international as well as national guidelines, we will discuss pathophysiology, risk factors, and evidence-based recommended adjunctive treatments for chronic, hard-to-heal diabetic foot ulcers.

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This lecture will assist providers when needing to determine when to admit a patient versus treating them as an outpatient with a diabetic foot infection. It will highlight some of the important questions to be asked as part of the history along with the clinical testing needed to confirm the diagnosis.

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No two wounds are alike. An introduction to Omeza's drug device technology that addresses inflammation, biofilm and perfusion in the treatment of chronic wounds.

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Lecture will define CLTI and emphasize the importance of timely diagnosis and treatment. WIfI Classification will be discussed and treatment of CLTI based on the WIfI classification will be outlined. Treatment options for CLTI will be outlined. What is meant by the endovascular first philosophy will be outlined.

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Review of High risk disease states which impact fracture care. We will explore patient and injury related factors which affect fracture management and discuss techniques which can be employed to maximize osseous stability/repair while minimizing risks to the soft tissue envelop and limb as a whole.

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This program will examine 1) uncontrolled gout as a systemic, progressive disease with serious consequences, 2) a safe and effective treatment option, and 3) best practices for referring patients early in the course of disease.

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Delivering a robust PAVE Program through open-minded and forward-thinking leadership, a vision for podiatric excellence, and some help from advanced imaging technology. The Prevention of Amputations in Veterans Everywhere (PAVE) Program represents a model of care developed to prevent or delay amputation through proactive early identification of Veterans who are at risk of limb loss. This symposium will outline the goals of the VA’s PAVE Program and will take a deeper look at how Dr. Ferreras and his team at the Carl Vinson VA Medical Center have leveraged advanced imaging technology to help deliver excellence in podiatric wound care and limb preservation.

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The purpose of this session is to improve the understanding of current biological technologies (CAMPs) used in the repair and regeneration of tissue as part of an evidence-based wound management treatment plan.

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Overview of how to incorporate Ultrasound into your practice Dr Bromley will present an overview of how to incorporate ultrasound into your practice. He will also discuss how to improve diagnostic skills and patient engagement. Dr Bromley will also explain how to incorporate a regenerative approach to healing with ultrasound.

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This lecture dives into the role of psychosocial components in the process of wound healing, such as psychological states, social influences, and patient-centered care on the healing trajectory of wounds. Investigate the relationship between emotional well-being and the physiological aspects of wound repair, examining how mental health can influence recovery, as well as analyze the significance of social support structures in the context of wound healing. Attendees will have the opportunity to engage in discussions aimed at bridging the gap between theory and practical application in the context of patient care.

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Dr Bromley will discus what cellular tissue products can do for your patients. He will also discuss how cellular tissue products have improved wound outcomes, but are they worth the risk?

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Cases emphasizing the importance of a team approach in limb preservation will be presented. The value of bacterial based wound care will be presented. In cases of CLTI associated with infection discuss the sequential management. Discuss the concept of reconstruction of complex tissue defects and define the ultimate goal. Outline the importance of preventive care following initial healing of a complex tissue defect.

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Diabetic foot infections pose a significant risk to the foot, limb, and functionality of persons with diabetes. This lecture aims to discuss the implications of delayed diagnosis and treatment for diabetic foot infection.

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This lecture reviews the more common imaging options available to clinicians diagnosing and managing diabetic foot infections.

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The commercially available, proprietary, evidence-based novel hooked nylon fabric is both a gentle brush and an excisional "frictional" plastic curette...both tools in one. The fabric devices deployed on plastic wand applicators or a "finger cot" is the most versatile wound care tool because it can be used by any surgical or non-surgical provider, and optimal for podiatry. Cases performing chronic wound "hygiene" with gentle sweeping of the wound and true surgical excisional "curettage" with pressurized conversion of brush tips to curette tips will be demonstrated, as well as published evidence of the effect of this level of friction causing the needed chronic wound inflammatory "repair" immune response in the sub-epithelial space. Its evidence as an alternative biopsy tool will also be discussed.

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Charcot Foot non-healing wound with standard of care healed in 7 days after micro water jet technology.

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This lecture focuses on the approach to the atypical ulcer. Atypical ulcers are often chronic in nature and can be associated with heightened morbidity and mortality.

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The lecture will delineate several advantages of the EZDebride in sharp debridement vs traditional surgical instrumentation and include evidence-based literature, case studies, and techniques on use of the instrument.

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SSI reduction initiatives have addressed technology and process and practice improvements. One of the remaining unaddressed issues, irrigation, has seen research rapidly increase in recent years. This session addresses recent research regarding irrigation.

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During this lecture, Dr Frykberg will present a comprehensive study of biofilms.

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Nutrition made simple without changing your patients’ lifestyle. Fun & creative way to incorporate nutrition to heal wounds at lightning speed! Come and see the show!

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Non-pharmacologic alternative therapies for pain management in the chronic wound care space are lacking. Can topical oxygen therapy fill this void? This session will take a deep dive into this very topic.

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Peripheral arterial disease can be a devastating condition when misdiagnosed or unrecognized. While various tests are available for assessing arterial circulation, what is the best test? This lecture aims to discuss the limitations of the ABI.

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The combination of neuropathy and ischemia poses a unique challenge in treating the diabetic foot. This lecture aims to examine these confounding comorbid conditions more closely when it comes to treating diabetic patients.

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This presentation will go over several new technologies that will help the provider heal wounds faster and better. As a result of using these new technologies, patients will have an improved quality of life and there will be fewer amputations. Many of these technologies are available to the public now and some are only available in the VA system. The VA provider should be using most of these modalities as soon as possible.

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Dr Regulski will discuss the role that oxygen plays in the wound healing cascade.He will also discuss the evidence behind the use of topical cyclical pressurized oxygen in the healing of diabetic foot ulcers and venous leg ulcers.

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Onychomycosis is a fungal infection that warrants intervention. This program will review key causes of toenail onychomycosis, nail physiology, biological factors influencing nails, onychomycosis in diabetic patients and more.

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The addition of hyaluronan to topical hydrogels can create a product that provides a soothing, moist environment supportive to wound healing.

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The lecture will focus on the fundamental principles of treating plantar forefoot ulcers with a floating metatarsal osteotomy.

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Since 2003 Quantum Medical Supply has successfully developed and implemented technology surrounding the therapeutic shoe bill allowing us to establish a national network for diabetic shoes.

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We will present pre-clinical and clinical data demonstrating the efficacy of ProgenaMatrix, the first human keratin matrix for wound care, in healing chronic wounds.

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The lecture will focus on the fundamental principles of treating midfoot charcot deformity with external fixation.

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There are many instances when a patient has been told “you need an amputation” such as with a chronic stable osteomyelitis, vascular disease, etc when the patient does not want an amputation. The purpose of this presentation is to review cases of 3 patients who have made the choice to decline surgery, their treatment plans as well as outcomes.

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This session will review the morbidity and mortality associated with foot disease and the impact on the health of the public. An overview of the social determinants including economic stability, education access and quality, healthcare access and quality, neighborhood and built environment and social and community context related to managing diabetic foot ulcers will be reviewed. Understanding the multiple complexities related to treating Diabetic foot ulcers including the social components is vital if we want to improve the health of the public.

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The presented lecture will briefly review the current literature focusing on partial calcanectomy as a lower extremity amputation prevention strategy. Additionally, total calcanectomy will be discussed briefly as an alternative option for partial calcanectomy on selected cases.

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