18-20 September 2008 • JW Marriott Pennsylvania Ave. • Washington, DC

 

2007 Presentations

 


The Diabetic Limb Salvage online video is provided to you through educational grants from
Integra LifeSciences, KCI, Organogenesis, and Smith & Nephew.



 

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Thursday 27 September

 

11:30 – 12:30 LUNCH SYMPOSIUM
Active Topical Management of the Wound Bed:
Where Common Sense and Common Science Have Taken Us

Christopher E. Attinger, MD • Kara S. Couch, MS, CRNP

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This activity is supported by an unrestricted educational grant from Medline Industries.

 

Introduction Video:

In Their Own Words: Patients and Practitioners on the Diabetic Limb Salvage Challenge

 

The Public Health Crisis of Diabetic Limb Loss
Defining the Problem and Gaining Perspective
Diabetes, PAD, Ulceration, and Amputation:
New Insights to the Current Problem
Peter Sheehan, MD
Must-Have Technologies and Techniques
Victories of the Past Decade That Have Saved Limbs
David G. Armstrong, DPM, MSc, PHD
The Reality of Diabetes 2007: Can We Turn Around the Freight Train?
Stephen C. Clement, MD
The Cost of Diabetic Limb Salvage:
A Close Look at the Heavy Finances of Wounds
Vickie R. Driver, DPM, MS

The TEAM Approach to Diabetic Limb Salvage

Moderators: Christopher E. Attinger, MD • Richard F. Neville, MD • 
John S. Steinberg, DPM

Panel: Mark R. Abbruzzese, MD Angela Calvert, MSN, CRNP, CVN • Stephen C.Clement, MD • Kara S. Couch, MS, CRNP • Charles G. Crone, BS, CP David H. Deaton, MD • Katherine Hubley, RN, CWCN • Margaret C. Kugler, ACNP • Kimberly Trepanier, PT, CWS

 

The Pain of Sensory Loss and “Non-Compliance”
Etiology and Epidemiology of Sensory Loss in the Diabetic Lower Extremity
Andrew J.M. Boulton, MD, FRCP
Surgical Treatment of Diabetic Peripheral Neuropathy:
Indications and Timing: Controversy or Cure?
Ivica Ducic, MD, PhD
Decoding the Patient’s Perspective:
Is It "Non-compliance", Denial, or Complex Psychology?
Mark Peyrot, PhD
Neuropathic Patients with Diabetes:
How to Influence Behavior in the Overwhelmed
Pamela Scarborough, PT, MS, CDE
Panel Discussion

 

 



Friday 28 September

Vascular Intervention: Endovascular vs. Distal Bypass
Diabetic Vascular Disease: Past Misconceptions and Future Directions
Anton N. Sidawy, MD
Workup and Diagnostic Imaging: The First Step in Limb Salvage
George Andros, MD
Surgical Revascularization:
Bypass Is Still the Gold Standard for Limb Salvage
Gary W. Gibbons, MD
Catheter-Based Revascularization: The Revolution in Evolution?
Barry T. Katzen, MD
Panel Discussion

LIVE CASE: Subintimal angioplasty and IVUS directed re-entry for superficial artery occlusion with Heparin Bonded Endograft placement

Surgeon: David W. Deaton, MD
Moderator: Richard F. Neville, MD
Panel: George Andros, MD • Gary W. Gibbons, MD • Barry T. Katzen, MD • Michael B. Silva Jr, MD

 

Vascular Intervention: Endovascular vs. Distal Bypass
Endovascular Techniques for Limb Salvage: The Bypass is Dead!
Michael B. Silva Jr, MD
Innovative Revascularization Techniques:
Both Surgical and Endovascular Options Should Be Considered!
Richard F. Neville, MD

LIVE CASE: Percutaneous Tendo-Achilles Lengthening & Bioengineered Living Tissue

Surgeon: John S. Steinberg, DPM • Moderator: Christopher E. Attinger, MD
Panel: Vickie R. Driver, DPM, MS • William J. Ennis, DO, MBA •
Michael J. Mueller, PT, PhD • Lew C. Schon, MD

LIVE CASE: Hydro-Surgical Debridement with Application of Collagen Matrix & Negative Pressure

Surgeon: John S. Steinberg, DPM • Moderator: Christopher E. Attinger, MD
Panel: Vickie R. Driver, DPM, MS • William J. Ennis, DO, MBA •
Michael J. Mueller, PT, PhD • Lew C. Schon, MD

Georgetown Distinguished Achievement Award in Diabetic Limb Salvage
Honoree: David G. Armstrong, DPM, MSc, PhD
Presented by Robert Goldberg

 

 

BioMechanics or BioMagic?
Tackling the Dilemmas of Foot Function
Has Achilles Lengthening Made Plantar Forefoot Ulcer Care Obsolete:
Or Are We Just Creating More Heel Ulcers?
Michael J. Mueller, PT, PhD
Orthotics and Shoes:
Great Closet Fillers...But How Do We Get Them on the Patient’s Foot?
Lawrence A. Lavery, DPM, MPH
The Role of Prophylactic Offloading Surgery in the Diabetic:
Safe or Sorry?
John S. Steinberg, DPM

LIVE CASE: Distal Vein Patch with Prosthetic Bypass for Limb Salvage

Surgeon: Richard F. Neville, MD • Moderator: David W. Deaton, MD
Panel: George Andros, MD • Gary W. Gibbons, MD • Barry T. Katzen, MD •
Anton N. Sidawy, MD • Michael B. Silva Jr, MD

 

Salvaging the “Unsalvageable” Foot and Ankle

LIVE CASE: Debridement with Chopart Amputation & Achilles Tenectomy

Surgeon: Christopher E. Attinger, MD • Moderator: John S. Steinberg, DPM
Panel: Gary W. Gibbons, MD • Lawrence A. Lavery, DPM, MPH •
Guido A. LaPorta, DPM • Anton N. Sidawy, MD

LIVE CASE: Hydro-Surgical Debridement with Filet of Toe Flap & Collagen Matrix Dressing

Surgeon: Christopher E. Attinger, MD • Moderator: John S. Steinberg, DPM
Panel: Gary W. Gibbons, MD • Lawrence A. Lavery, DPM, MPH •
Guido A. LaPorta, DPM • Anton N. Sidawy, MD

Charcot Pathophysiology and Role for Early Intervention:
Can We Really Change the Outcome?
Glenn M. Weinraub, DPM
Determining What Charcot Deformities Are Salvageable:
A Bridge Too Far?
Guido LaPorta, DPM

 



 

Saturday 29 September

 

6:00 - 7:00 BREAKFAST SYMPOSIUM

The Effects of Low Frequency, Non-contact, Non-thermal
Ultrasound on Wound Healing

William J. Ennis, DO, MBA • Kimberly Trepanier, PT, CWS


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This activity is supported by an unrestricted educational grant from Celleration.

 

The Problem Wound: Turning Non-Healing into Healing
Going Up in Smoke:
The Effect of Smoking on Diabetic Ulcer Non-Healing
Caroline Fife, MD
Wound Dressings: Deciphering the Discord
Kara S. Couch, MS, CRNP
Infection vs. Inflammation:
Is There a Difference and Does It Matter?
Gary Sibbald, MD
Microcirculation: The Push-Pull Theory
William J. Ennis, DO, MBA

 

Wound Based Infection:
Providing Effective Treatment and Avoiding Complications
The Science, the Debate, and the Evidence:
Is There a Role for HBO in Limb Salvage?
Harriet W. Hopf, MD
How to Effectively Use Antibiotics in Foot Amputations While Minimizing Complications:
Should the Antibiotics Stop When the Saw Comes Out?
Adolf W. Karchmer, MD
Biofilms and the Non-Healing Wound:
Why a Monothreapy-Based Approach Doesn't Work
Randall Wolcott, MD, PA
A Rational Approach to Tight Glycemic Control to Improve Wound Healing
Charles A. Reasner II, MD

 

Preserving Limb Length
How to Determine the Appropriate Amputation Level the First Time Around
Michael S. Pinzur, MD
Preserving Length: The Role of VAC in Foot Amputations
Christopher E. Attinger, MD

 

Can It All Be Put Together?
The Business of Running a Wound Center
Moderators: Christopher E. Attinger, MD and John S. Steinberg, DPM
Panel: Charles G. Crone, BS, CP • William J. Ennis, DO, MBA
Caroline Fife, MD • Joyce Johnson, RN, PhD
Maya Shawwa, MPA • Paul Warda • Dot Weir, RN, CWON, CWS


 

Dr. Christopher E. Attinger's Acceptance Speech for the
Edward James Olmos Award for Advocacy in Amputation Prevention at DFCon07

Video clip: view | download