MTP Meet the Professor (1-2

MTP-D

SURGICAL MANAGEMENT OF THE DIABETIC FOOT: YOUR WOUND, ISCHEMIA AND FOOT INFECTION (WIFI) SETTINGS

DAVID G. ARMSTRONG, DPM, M.D., PH.D.

Professor of Surgery, Keck School of Medicine USC; Department of Surgery

Numerous modalities have emerged as potentially promising adjuncts to healing diabetic foot wounds. However, none of these will reach their therapeutic potential unless one is able to measure risk and direct medical and surgical therapy. The purpose of this lecture will be to review basic tenets of common sense in therapy of diabetic foot wounds and describe a simple system for assessing limbthreat. Specifically, severity of Wound, Ischemia or Foot Infection (WIFI). We will then describe efforts for surgical intervention for each of these three risk factors. We will also discuss potential therapies for the patient in diabetic foot remission designed to extend ulcer-free, hospital-free and activity-rich days. Further information regarding this lecture including video, manuscripts, diabetic foot blog, etc are available at: www.diabeticfootonline.com .