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Featured Articles

  • July 9, 2018

    Carbon Fiber Orthoses May Improve Activity Performance After Severe Lower Extremity Trauma

    Researchers compared physical performance between military service members with lower extremity trauma resulting in limb salvage (n = 20) or unilateral transtibial amputation (n = 14) and uninjured actively training service members (n = 123) using four-square step, sit-to-stand 5 times and timed stair ascent tests. Researchers assessed patients in the limb salvage group with and without the use of a carbon fiber orthosis. They used associations between these lower extremity activity measures to determine the interrelationship of activity limitations. Read More

    Greater Concentration on Wound Care Will Save NHS Millions Argues Prof of Vascular Surgery

    It is estimated that annually the NHS treats over two million wounds at a cost of £5.3 billion and with tougher financial constraints being announced every year, there needs to be ongoing research to ensure the lack of finances doesn't affect the quality of wound care available. This was the topic of the opening lecture at the 3rd International Skin Integrity and Tissue Viability Conference hosted by the University of Huddersfield's Institute of Skin Integrity and Infection Prevention (ISIaIP), in conjunction with the Journal of Wound Care. Read More

    No Benefit of Negative Pressure Wound Therapy for Lower Extremity Open Fractures

    Open fractures are usually treated with surgical debridement and fixation, following which patients are often subject to routine local wound care either with standard dressings or NPWT. With the severity of these fractures, reduced quality of life is common and is unknown how different wound management strategies affect recovery. In this multicenter, randomized controlled trial, no differences were found in the mean self-reported disability at 3, 6, 9, or 12 months post between patients randomized to the NPWT or stand wound dressing groups. Read More

    Ankle Salvage Possible After Distal Tibial Nonunion

    Periarticular distal tibial nonunions can be tricky to treat, but Mount Sinai researchers have found that ankle-sparing bone transport can be an effective alternative to bone graft and arthrodesis. Their study, “Ankle Salvage Following Nonunion of Distal Tibia Fractures," was published online in the Foot and Ankle International on June 4, 2018. Ettore Vulcano, M.D., assistant professor of Orthopaedics at the Icahn School of Medicine at Mount Sinai, and his colleagues evaluated radiographic and clinical outcomes of 21 patients who underwent ankle-sparing bone transport for periarticular distal tibial nonunions between January 2006 and July 2016. Read More


  • July 2, 2018

    Researchers Report Biomedical Applications of Cuttlefish Bone

    A group of researchers of Kaunas University of Technology (KTU) has developed several innovative applications of cuttlebone, natural biologically active material possessing bone and wound healing properties. The products include natural bone implants, suppositories for treatment of hemorrhoids and wound gels. By removing protein from the cuttlebone, KTU researchers have reduced the risk of side effects, such as allergic reaction of potential users. Read More

    New Bandage May Help Wounds Heal More Quickly for People with Diabetes

    Getting blisters from breaking in a new pair of shoes isn’t a big deal for many, but a person with diabetes could pay a much bigger price. Something as benign as a blister can easily become infected, eventually requiring surgery or multiple treatments. At its potential worst, an amputation could be required. Researchers at Northwestern University in Illinois have developed a new device that they hope will not only expedite the healing speed of a wound for diabetes patients but also prevent the need for infection-based operations altogether. Read More

    Super Absorbent Wound Dressing Will Swell up to Save Soldiers’ Lives in Combat

    According to the U.S. Army, around 80 to 90 percent of potentially survivable deaths among American soldiers on the battlefield occur as the result of uncontrolled bleeding. With that shocking stat in mind, it’s no surprise to hear that the Army is working on a new kind of wound dressing which could help patch up bleeding wounds — and hopefully save hundreds, or even thousands, of lives in the process. The new polystyrene and rubber wound dressing boasts an amazing amount of absorbency, letting it absorb up to 800 percent of the material’s weight in liquid. Read More

    The Physician’s Role in Providing Individualized Burn Care

    Pain is a complex concept, which presents numerous clinical and ethical complexities for caregivers and patients in burn care settings. Good clinical and ethical decision making in these settings demands attention to topics such as end-of-life practices and how to regard consent, refusal and other expressions of a patient’s autonomy. One famous burn patient’s case has been particularly influential. Read More


  • June 26, 2018

    Statin Therapy Reduces Mortality Risk After Revascularization in CLI

    Patients who received moderate- or high-intensity statin therapy 1 year after revascularization for chronic limb-threatening ischemia were more likely to survive long term, according to data presented at the Society for Vascular Surgery Vascular Annual Meeting. Nicholas J. Swerdlow, MD, and colleagues analyzed data from 1,195 patients with chronic limb-threatening ischemia, also known as critical limb ischemia (CLI), who underwent 1,336 first-time revascularization procedures from 2005 to 2014. Read More

    Eggshell Waste Breaks Into Wound Healing

    Delayed chronic wound healing is the so-called ‘vicious cycle’ of many illnesses. Chronic inflammation, excess protease, a key risk factor in healing, and tissue degradation are the hallmarks of this condition that can lead to further debilitation for the patient including a deterioration in psychological health. What’s more, already high healthcare costs are set to escalate the longer the wound goes unchecked. Read More

    Opioid Use Elevated in Patients With PAD, CLI

    Patients with peripheral artery disease and critical limb ischemia had an increased risk for opioid use, according to data presented at the Society for Vascular Surgery Vascular Annual Meeting. Nathan Itoga, MD, vascular surgery resident at Stanford University, and colleagues analyzed data from 182,186 patients with PAD from a database between 2007 and 2015. All patients had two or more diagnoses of PAD at least 2 months apart. Patients with CLI were also included (27.1%), with CLI defined as ulcers, rest pain or gangrene. Read More

    Diagnosing and Managing Infection in Acute and Chronic Wounds

    The International Wound Infection Institute has recently updated its guidance and now recommends using the term ‘microbial’, rather than ‘bacterial’, when discussing wound infection. It has also adopted a new way of categorizing wound infection as stages in a continuum. These updated definitions and recommendations should help health professionals recognize the presence of infection in a wound and choose the appropriate management. Read More


  • June 19, 2018

    Machine Learning Identifies Lymphedema in Breast Cancer Survivors with 94% Accuracy

    Researchers from the New York University Rory Meyers College of Nursing have found machine learning using real-time symptom reports to be accurate in identifying lymphedema early in breast cancer patients. Clinicians often detect or diagnose lymphedema based on their observation of swelling. However, by the time swelling can be observed or measured, lymphedema has typically occurred for some time, which may lead to poor clinical outcomes. Read More

    FDA Issues Guidance on Drugs to Treat Epidermolysis Bullosa

    The US Food and Drug Administration (FDA) on Friday released a draft guidance aimed at helping sponsors develop drugs to treat epidermolysis bullosa (EB), a group of genetic disorders that cause fragile skin and blistering. FDA says it is developing the guidance to help address the "paucity of effective treatment options" for the disease, as there are no available treatments that cure EB. Instead, the standard of care for EB focuses on wound care and pain management. Read More

    This Handheld Device Could Print New Skin on to Burn Victims

    A patient with severe burn injuries is brought to a burn center, in need of a skin graft immediately. A surgeon comes in with a small, handheld device and quickly dispenses thin sheets of artificial skin onto the wounds as easily as rolling out Scotch tape. This scenario could become reality, thanks to a new device developed by Canadian scientists: a handheld 3D skin printer that deposits layers of skin tissue on burns and other injuries. Read More

    Constructing New Tissue Shapes With Light

    Constructing biological tissues, such as skin, muscle, or bone, in customized shapes is now one step closer. Researchers have succeeded in guiding the folding and thus shape of tissues with optogenetics: a technique to control protein activity with light. The changing of tissue shapes in an embryo is essential for healthy development. Stefano De Renzis and his group members at EMBL are interested in the mechanisms behind these shape transitions, also called morphogenesis. Read More


  • June 12, 2018

    Cellulitis and Soft Tissue Infections

    Cellulitis and soft tissue infections are a diverse group of diseases that range from uncomplicated cellulitis to necrotizing fasciitis. Management of predisposing conditions is the primary means of prevention. Cellulitis is a clinical diagnosis and thus is made on the basis of history and physical examination. Imaging may be helpful for characterizing purulent soft tissue infections and associated osteomyelitis. Read More

    Iclaprim Found to be Effective and Safe Treatment for Acute Bacterial Skin and Skin Structure Infections

    Pooled analyses of 2 phase 3 trials have conclusively established the safety and effectiveness of iclaprim compared to vancomycin in the treatment of acute bacterial skin and skin structure infections (ABSSSI). The results cap the efforts needed for an approval application to the US Food and Drug Administration which is slated to happen within weeks. Read More

    Dressed for Success

    Wound care dressing options have exploded, but deciding which material is best for which injury sometimes is an elusive quest for providers. No more. A good basic wound care formulary should provide the treatment nurse with a variety of tools, including wound cleanser, periwound skin prep, and dressings to support wound healing throughout the continuum, from dry to heavily draining wounds and those with bioburden or infection. Read More

    Blood Sugar Control Doesn't Improve Diabetic Foot Ulcers

    Having a healthy baseline HbA1c reading or improving blood glucose levels did not improve wound healing time among patients with diabetic foot ulcers, according to a new observational study. Though chronically high blood glucose levels are known harbingers of wound development, bringing those levels under control didn't speed up healing among 270 patients seen at the Johns Hopkins Multidisciplinary Diabetic Foot and Wound Clinic over a five-year period. Read More


  • June 5, 2018

    WOCN Society's 50th Annual Conference - June 3-6, 2018 - Philadelphia, PA

    Disseminate research and evidence-based knowledge of the latest techniques, applications, technologies and treatments related to wound, ostomy and continence issues to impact patient outcomes. Read More

    Variation is the Enemy of Quality in CLI Treatment

    Critical limb ischemia presents tremendous challenges that cannot be neglected or ignored. It is associated with incredibly high rates of morbidity and mortality. Clearly, the medical system is not adequately addressing the needs of these patients. I suggest that some of the flaws in the way we care for patients with CLI are emblematic of larger flaws in the U.S. health care system, and that an emphasis on consistency and team-based care may lead to improvements for these patients and our system. Read More

    Origami Inspires Researchers to Develop New Solution for Tissue Regeneration

    Origami - the Japanese art of folding paper into shapes and figures - dates back to the sixth century. At UMass Lowell, it is inspiring researchers as they develop a 21st century solution to the shortage of tissue and organ donors. Gulden Camci-Unal, an assistant professor of chemical engineering, and her team of student researchers are designing new biomaterials that could someday be used to repair, replace or regenerate skin, bone, cartilage, heart valves, heart muscle and blood vessels, and in other applications. Read More

    Healogics Shines a Light on Chronic Wounds with Fifth Annual Wound Care Awareness Week

    Healogics, Inc., the nation's leading provider of advanced wound care services, is proud to sponsor the fifth annual Wound Care Awareness Week from June 4 to June 8, 2018. Throughout this week, Healogics team members from around the country will be working together to shed light on the chronic wound epidemic and bring awareness to the advanced wound care options available. Unfortunately, the incidence of chronic wounds is only expected to rise over the next decade, making awareness and advanced wound care more important now than ever before. Read More

    New Nanoparticles Help to Detect Serious Scarring of Wounds

    Clinicians currently find it difficult to predict how scars will develop following surgery or after a burn wound, without resorting to invasive testing. Using new nanoparticles, the joint research team has shown in animals and human skin samples the potential to quickly and accurately predict whether a wound is likely to lead to excessive scarring as occurs in keloids and skin contractures. Read More