Lower Extremity Wounds

Lower limb wounds are frequently observed in clinical practice and often present a real challenge for health care practitioners. Lower extremity wound care requires a multidisciplinary approach involving a number of different health care professionals in order to achieve optimum patient care. Nurses and podiatrists, in particular, are frequently involved in the assessment and management of lower extremity wounds, often working in partnership. Lower Extremity Wounds: A problem-based learning approach is the first wound care book that has been written as a joint venture by experienced nurses and podiatrists, all with expert knowledge in wound care. It highlights the importance of multi-professional collaboration to encourage the crossing and dismantling of professional boundaries, to increase understanding of each other's roles, and ultimately to ensure that the patient receives the best available evidence-based interventions during their health care journey. Taking a problem-based learning approach, each of the ten chapters highlights best practice in the management of wounds by type, discusses clinical guidelines and current evidence, and links this theory to a clinical scenario thus bridging the theory to practice gap. Numerous full-colour illustrations are used throughout the book to visually enhance the reader's learning. Aimed at both students and practitioners, this book is essential reading for anyone involved in lower extremity wound care.

This book focuses on the clinical evaluation and management of ulcers of the lower limbs. There are numerous causes for ulceration in the lower limbs and each variety requires careful clinical evaluation and management approach. In 29 chapters, written by highly experienced surgeons, the book covers prevalence, types, healing mechanisms, clinical evaluation and microbiology of the ulcers, followed by detailed review of each ulcer variety. Chapters on pyoderma gangrenosum, diabetic foot, grafts and flaps, amputation, pain control strategy and documentation of these cases provide a complete coverage from management stand-point. The book is essential reading not only for general surgeons and vascular surgeons, but also has relevance for orthopedic surgeons, podiatrists, dermatologists and oncologists who manage such cases. Also serves as reference guide for post-graduate examination.

This book introduces readers to the latest developments regarding pressure injury wounds, diabetic wounds, and negative pressure wound therapy. The first part exclusively deals with wounds from pressure ulcers, describing in detail their prevention, classification, and treatment. In turn, chapters addressing diabetic wounds form the middle part of the book. Here, the authors provide guidance on the medication and treatment (e.g. stem cells, laser) of patients suffering from this disease. The book’s last part, which focuses on negative pressure wound therapy, addresses all major aspects of this approach, reflecting the latest research. Illustrated with a wealth of high-quality pictures throughout, the book offers a unique resource for both beginners and experienced plastic surgeons.

This book addresses wound care in vascular surgery, neurosurgery and lower extremity ulcers, while also providing detailed information on the latest concepts in antimicrobial therapy. The book presents essential content on the assessment, care, measurement and repair of wounds, and describes important scientific aspects as well as current clinical techniques. Due to the various topics covered, the book offers a valuable resource not only for plastic surgeons, but also for neurosurgeons, vascular surgeons and all clinicians who are interested in learning about current antimicrobial agents and their use.

The state-of-the-art guide to lower extremity reconstruction from international experts "I loved witnessing two generations of surgeons working together to capture it all: origin, evolution and progress, state of the art, and the future in one beautifully-crafted and exciting book. This is no doubt a must-read and must-have book." – from the Foreword by Fu-Chan Wei, MD Adequate evaluation of lower limb wounds for salvage requires an itemized assessment of vascular, osseous, soft tissue, and functional deficits. Lower Extremity Reconstruction: A Practical Guide by renowned reconstructive surgeons and perforator flap masters J.P. Hong and Geoffrey G. Hallock presents an orthoplastic approach to this growing and challenging area of microsurgery. Throughout the well-illustrated text and videos, an impressive cadre of international surgeons share pearls and insights, including esoteric knowledge and step-by-step demonstration of techniques with pertinent case examples. This unique guide presents a practical, visual, and stepwise approach to learning and mastering a full array of flap and microsurgery approaches for traumatic, dysvascular, metabolic, and oncologic lower limb defects. Organized into 26 topic-specific chapters, the book covers a full spectrum of lower extremity topics—from wound prep, timing, closure alternatives, and therapy, to soft-tissue tumors and a new concept in drop foot treatment. Numerous videos demonstrate how surgeons can leverage workhorse options to prevent chronic non-healing wounds or amputations and achieve the goal of limb salvage. Key Highlights Lower extremity soft-tissue reconstruction techniques using local muscle and perforator workhorse flaps Bone salvage and restoration techniques, including vascularized bone grafts Diabetic foot management with in-depth discussion of the SCIP flap and perforator-to-perforator concept Rationale for partial and subtotal foot amputation 27 videos and more than 600 illustrations enhance understanding of microsurgical interventions With insights from top microsurgeons on how to achieve the best outcomes for patients with lower limb defects, this is a must-have resource for plastic and orthopaedic surgeons, especially specialists who treat patients at trauma centers.

This book describes how chronic wounds follow a completely different healing trajectory to acute wounds and discusses the factors associated with these poor healing trajectories. These factors include age, chronic inflammation, phenotypic changes in such cells as macrophages, fibroblasts, and keratinocytes, colder, alkaline wound milieu, wound related hypoxemia, and diabetes. Other factors implicated include reperfusion injury, poor patient compliance, presence of undiagnosed and therefore unmanaged biofilms and wound pain. The past decades have yielded reliable evidence-based guidelines and standardized care, but the healing of diabetic foot wounds continues to be unpredictable notwithstanding these advances, while the recurrence rates are also high. The benefits of technology in wound diagnosis are evidence-based and the use of this technology also features in guidelines. However, the same argument cannot be extended to adjuvant devices to facilitate wound closure even though many devices potentially benefit wound healing. Chronic Wound Management describes how innovation is based on technology that itself informs evidence, the gap between the evidence available, the performance of technology and how do we bridge this gap. It reviews the lessons learnt from the COVID-19 pandemic and whether traditional medicine systems offer us real or imaginary benefits. Consequently, this book is an important addition to the literature in the area and an essential read for all healthcare professionals working with these patients.