There are many classification systems present for lower extremities wounds, but with so many present, how does one keep them straight and know which is best? Dr. Lavery explains the wound classification systems of Shea, Meggitt/Wagner, and Lavery-UT in detail in this lecture. He discusses how the Lavery-UT system includes the depth of a wound and the comorbities of infection and ischemia that may be present. The lecture ends with multiple case studies that classify the wounds in the comparison of the Wagner and UT system.

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Dr. Pupp gives insight into strategies in preventing diabetic lower extremity amputations. He presents alarming facts associated with amputations. Dr. Pupp discusses the need for patient education, tight glycemic control, insight into vascular assessment and the importance of pedorthotist intervention for long term success.

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by an Educational Grant from

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During residency, calcaneal fractures are often seen and assessed in the ER. However, as office clinicians, the acute calcaneal fracture is not seen and evaluated as often as a previous calcaneal fracture with symptomatic complications. Dr. Cohen discusses how to surgically care for the patient who is symptomatic with malalignment of the subtalar joint. Anatomy of joint depression fractures and objectives are discussed, as well as the delayed arthrodesis procedures of osteotomy with grafting, bone block distraction, and insitu.

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by an Educational Grant from

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