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In Clinical Conundrums: What Do We Do With This Patient?, Robert Frykberg DPM, MPH, MAPWCA, FRSM, FFPM (Glasg) guides clinicians through the complex decision-making required in managing diabetic foot wounds, using real-world cases to illuminate best practices and common pitfalls. This session reviews the rationale behind contemporary approaches to diabetic foot wound care, highlights how to recognize the clinical features of limb-threatening ulcers, and explores modern, evidence-based strategies for achieving successful limb salvage in patients with infected diabetic foot wounds. Participants will leave with a clearer understanding of how to translate these principles into practical, patient-centered management plans.

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The Army Way – (Team Approach) by Charles Andersen, MD, FACS, FSVS, MAPWCA presents a dynamic exploration of how a well-structured Limb Preservation Team can dramatically improve patient outcomes through coordinated, mission-driven collaboration. This lecture defines the essential components of an effective multidisciplinary team and clarifies the distinct yet interdependent roles of each member. Dr. Andersen emphasizes the power of unified goals and continual, symphony-like communication that ensures seamless care across specialties. Drawing on compelling data and real-world experience, he demonstrates how a cohesive, highly functional team approach consistently leads to superior limb preservation results.

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: Illustrate the clinical use of a new up to 7-day wear time NPWT dressing and how to develop practical strategies to achieve optimal results.

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In the lecture, Native American Challenges for Limb Salvage, William Hesidence DPM emphasizes the critical role of stewardship in delivering high-quality, culturally respectful limb preservation care, particularly within Native American communities that rely on clinicians’ commitment and follow-through. By highlighting how thoughtful resource management translates directly into fewer amputations, more healed limbs, and meaningful improvements in patients’ lives, the session reframes efficiency as a moral and clinical imperative. Participants will explore how creating clear patient care plans—and adhering to them—empowers teams to not only meet but exceed institutional goals while honoring the trust placed in them by their patients and their healthcare system.

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Demonstrate efficient, evidence-based application of a next-generation NPWT dressing with an under-two-minute placement time across diverse wound types and anatomical regions to optimize clinical outcomes.

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This presentation, by Matthew G Garoufalis, DPM, FASPS, FACPM, CWS, FFPM RCPS (Glasg), FRSM, will cover the published evidence that definitively shows that using Intermittent Topical Oxygen Therapy does increase durable collogen production. This allows those wound that are healed using this muti-modality therapy to have a significantly decreased chance of recurrence and re-ulceration. As result, lower amputation rates are seen, lower health care costs are incurred, and the patients have a better quality of life.

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Understanding the Guidelines on Painful Diabetic Peripheral Neuropathy by Lee Rogers, DPM provides a clear and practical overview of current evidence-based recommendations for diagnosing and managing diabetic peripheral neuropathy. This lecture reviews the major society guidelines, distilling their key points into actionable clinical guidance. Dr. Rogers introduces the ALPS Clinical Practice Pathway as a structured approach to evaluation and treatment, helping clinicians navigate therapeutic choices with confidence. By distinguishing which interventions are supported by strong evidence and which lack proven benefit, the session equips attendees to deliver guideline-aligned, effective, and safe care for patients suffering from painful diabetic peripheral neuropathy.

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This lecture by Thomas E Serena, MD, FACS, FACHM, MAPWCA, examines a revolution in wound healing clinical research through the use of master trial designs, including platform, matrix, and Matriach trials. These innovative methodologies allow simultaneous evaluation of multiple interventions or patient subgroups within a single adaptive framework, improving efficiency, flexibility, and data quality. Attendees will learn how master protocols accelerate discovery, optimize resource use, and provide robust evidence for emerging wound therapies.

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Predicting Probability of Healing – Back to Bayes introduces clinicians to a practical, intuitive framework for interpreting uncertainty in wound healing by embracing Bayesian reasoning. Drawing on the idea that clinicians already use priors—experience, training, population data—whether they acknowledge them or not, Ryan Dirks, MS, PA, CWS illustrates how probability represents our state of knowledge, not an inherent property of a wound. The lecture demonstrates how new evidence negotiates with existing beliefs, using simple “tiny world” patient scenarios to show how updating produces more coherent and actionable clinical decisions. Ultimately, this session empowers clinicians to think intentionally, rather than accidentally, as Bayesians, transforming probability assessment into a more transparent, rigorous, and clinically meaningful process.

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Neuroischemic infected wounds are limb threatening. In this presentation, Mario Ponticello, DPM, DABFAS, MAPWCA will explore the pathway to managing this devastating condition.

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This lecture, presented by Evelyn Height-Rosen, DPM will focus on the approach to the atypical ulcer with a special look at current updates in the literature. Atypical ulcers are often chronic in nature and can be associated with heightened morbidity and mortality.

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Biofilms have a critical role in chronic diabetic foot ulcer pathology and are a major barrier to limb preservation. This lecture by Cyaandi Dove, DPM, will examine the mechanisms of biofilm formation, their impact on tissue healing and infection control, and current advances in diagnosis and targeted therapy. Attendees will gain practical insights into integrating biofilm management into multidisciplinary limb preservation strategies.

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Revisiting the San Elian Approach to the Diabetic Foot by Fermín Martínez De Jesús offers an in-depth reexamination of the San Elian methodology and its enduring relevance in modern diabetic foot management. This lecture reviews the foundational principles of the San Elian approach and demonstrates how the Saint Elian System provides a structured, reliable framework for patient assessment, monitoring, and long-term follow-up. Dr. Martínez De Jesús also highlights the importance of the SEWSS surgical strategy, emphasizing its impact on reducing mortality and lowering the rate of major lower-extremity amputations. Through this focused exploration, attendees gain a renewed understanding of how the San Elian philosophy continues to guide effective, life- and limb-saving care.

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PAD and TTT: Hope for the “No Option” Patient by Lee Rogers, DPM explores an innovative approach to limb salvage for patients traditionally considered to have no viable revascularization options. This lecture begins by clearly defining the characteristics of a “no-option” vascular patient and the clinical challenges they present. Dr. Rogers then guides the audience through a critical appraisal of the current outcomes literature on transverse tibial transport (TTT), highlighting its potential to stimulate angiogenesis and improve perfusion in cases where conventional interventions have failed. Finally, he outlines the key steps involved in performing the TTT procedure, providing clinicians with a structured understanding of how this technique can offer renewed hope and meaningful limb-saving possibilities for high-risk patients.

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Incorporating PowerStep’s high-quality pre-fabricated insoles into your practice can enhance patient outcomes and streamline your workflow. These insoles offer a cost-effective solution for providing immediate support and relief, reducing wait times for custom orthotics while still delivering excellent biomechanical benefits. Learn how this simple addition can improve patient satisfaction, boost compliance, and create an additional revenue stream for your clinic.

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In this lecture, Dane Wukich, MD, MSc will discuss when primary amputation should be done in patients with diabetes related foot complications

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A conceptual overview of 6th generation MIBS with case examples and an introduction to the Revcon™ Single Screw and MIBS CoPilot™ Shift + Targeting Guide.

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In this session, Carolyn Fife, MD explores how real-world evidence is transforming our understanding of wound care and reshaping clinical practice. Drawing on insights from the analysis of U.S. Wound Registry data, we will examine the comorbidities associated with non-healing wounds, the overlap of wound types in real world patients, and real world outcomes including healing rates and time to heal. We will discuss the implications of these findings and how they can be used to improve patient care.

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Despite the existence of evidence-based standards and CMS-recognized quality measures in wound care, practitioners often struggle to deliver (or document) the care that they know they should provide. Caroline Fife, MD will examine the gap between guidelines and real-world practice and explore some of the barriers to “doing the right thing” and will discuss the implications of these findings for clinical practice, regulatory policy, and reimbursement.

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Wendy Weston, PhD, CTBS will review new DFU published clinical outcomes using naturally optimized placental membranes while discussing BioRetain® processed tissue and the clinical impact of its molecular and structural integrity on advanced wound care.

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In this lecture, Dane Wukich, MD, MSc will discuss the morbidity associated with neuropathic ankle fractures.

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Diabetic foot infections are a significant contributor to amputations in the diabetic population. This lecture by Mario Ponticello, DPM, DABFAS, MAPWCA will examine the role of surgery in managing diabetic foot infections.

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Retrospective comparison of two sampling methods revealed surprising inconsistencies in chronic wound infection assessment, prompting a closer look at whether current diagnostic approaches truly reflect what’s happening beneath the surface.

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Complex diabetic foot disease remains a major cause of limb loss globally. Drawing on over four decades of experience at King’s College Hospital — the UK’s leading diabetic foot Centre — Venu Kavarthapu, FRCS reviews the multidisciplinary strategies that have improved limb salvage outcomes, including infection control, vascular intervention, and reconstructive surgery.

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In this session, Miki Fujii, MD, PhD will highlight the Japanese perspective on plastic surgical approaches to diabetic foot ulcers, focusing on the optimal timing and patient selection for skin grafts, local flaps, free flaps, and regenerative treatments. Practical strategies and case-based insights will be shared to guide limb salvage and improve outcomes.

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Dermal lymphatic dysfunction is present in near all lower extremity wounds and complicates wound healing, and is associated with increased recidivism rates. In this lecture, Mark Melin, MD, FACS, RPVI, FACCWS, will review lymphatic function, lymphedema, recognition and diagnosis, management options, wound biofilm/wound drainage management, and nutritional techniques to enhance accelerated healing. These components apply not only to venous leg ulcers, but also diabetic patients with foot ulcers and critical leg ischemia. Lipedema will also be described and discussed.

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Allan Freedline, DPM discusses recent results from a recent multicenter trial with a breakthrough technology that rapidly reduces edema after foot ankle surgery.

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Discover how SoftWave Extracorporeal Shockwave Therapy enhances healing, reduces pain, and improves patient outcomes in sports medicine, orthopedics, and wound care through advanced shockwave technology.

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Achieving predictable and successful outcomes in Charcot foot surgery depends on rigorous patient selection, multidisciplinary assessment, precise surgical execution, and structured post-operative management. During this session, Venu Kavarthapu, FRCS explores evidence-based strategies that optimize surgical decision-making and long-term functional outcomes.

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This presentation by Matthew Regulski, DPM, FFPM RCPS (Glasg), DABMSP, will review how tissue oxygenation and the evolving wound environment impact the healing of chronic wounds treated with topical wound oxygen therapy. This advanced modality increases oxygen saturation within the wound bed, leading to sustained tissue oxygenation over time. The resulting benefits include reduced infection risk, enhanced angiogenesis, and the development of stronger, higher-quality tensile strength collagen during wound healing and remodeling that support durable healing. Topical wound oxygen therapy also plays a role in pain reduction by improving vascularity and decreasing edema.

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During this presentation, John Lantis II, MD, FACS will provide the background and basic science of intact fish skin for lower extremity wound repair. Be aware of the supporting clinical evidence, including two large randomized control trials across the entire spectrum of the diabetic foot care continuum. Understand the state of the literature, supporting intact fish skin for venous leg ulcers. Obtaining an insight into the next steps of the clinical experience of intact fish skin.

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Join Vertex's expert-led discussion on a treatment for acute pain in adults. Explore the product's clinical trial results and learn how to identify patients who may benefit from this treatment.

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A chronic, infected Grade II venous leg ulcer in a 69-year-old diabetic patient achieved complete closure following four applications of AmchoPlast. This presentation reviews treatment approach, timing, outcomes, and clinical implications.

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Conquering Wound Care Around the World – A Japanese and Mexican Approach by Fermín Martínez De Jesús and Miki Fujii, MD brings together two globally respected perspectives to re-examine and advance modern strategies in diabetic foot and wound care. This lecture revisits the foundational San Elian approach, emphasizing its comprehensive framework for prevention, diagnosis, prognosis scoring, and treatment. The presenters highlight the continued importance of the Saint Elian System in long-term follow-up, showcasing how structured assessment and monitoring can guide timely interventions and improve outcomes. By integrating insights from both Mexican and Japanese clinical experience, the session underscores how these regional approaches complement each other in reducing mortality and lower-extremity amputations, ultimately offering a globally informed pathway to elevate wound-care practices across diverse healthcare settings.

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The Growing Incidence of PAD: If You Look for It You Will Find It by Charles Andersen, MD, FACS, FSVS, MAPWCA offers a compelling examination of the rising prevalence of peripheral arterial disease (PAD), particularly within the diabetic population, and underscores the critical importance of vigilant detection. Drawing on extensive clinical evidence, Dr. Andersen illustrates how PAD—especially its underrecognized microvascular and neuroischemic components—significantly worsens ulcer healing, increases infection risk, and triples the likelihood of amputation when paired with diabetic foot ulcers. This lecture highlights the subtle and often silent presentation of PAD, the limitations of traditional screening tools, and the need for a high index of suspicion supported by appropriate noninvasive and advanced vascular studies. By emphasizing timely identification, comprehensive vascular assessment, and the modern ability to treat disease down to the foot, Dr. Andersen reinforces how proactive recognition of PAD can shift limb outcomes and prevent avoidable amputations.

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This lecture provides a comprehensive overview of wound healing, with a focus on distinguishing between acute and chronic wounds through an understanding of underlying pathophysiology. Participants will explore the common causes of chronic wounds—including diabetic foot ulcers, venous leg ulcers, pressure injuries, arterial insufficiency wounds, and post-surgical wounds—and examine the impact of comorbidities such as diabetes, vascular disease, malnutrition, and infection on the healing process. The session will introduce the TIME framework (Tissue, Infection/Inflammation, Moisture balance, Edge) as a structured approach to wound bed preparation. Learners will also gain familiarity with evidence-based interventions, including dressings, devices, and advanced therapies such as negative pressure wound therapy, biologics, skin substitutes, and hyperbaric oxygen therapy (HBOT). Finally, the lecture will address the essential aspects of billing, documentation, and regulatory considerations for wound care within integrated healthcare systems.

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The notion that preventative/maintaining the health of the feet has been relegated as almost optional for far too long. Regular evaluation and care of the feet can contribute to the overall health of the individual, as well as prevent the domino effect of not being able to walk efficiently. This presentation will propose the initiation of a strategic partnership between the Podiatrist/Lower Extremity Provider, WOCNCB Certified Foot Care RN and, the patient to establish a healthy foot care program that is fiscally sustainable. The program will utilize the established foot care standard of care along with the theory of planned behavior, which will satisfy the updated Medicare Guidelines - Publication Number 100-02 Medicare Benefit Policy Manual, Chapter 15 Covered Medical and Other Health Services, Section 290.2 Routine Foot Care.

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In this session, Cathy Harmon, DNP, MSN Nrg ED, FNP-BC, CWON®, CFCN® will be discuss the various stages of pressure injuries to the heels as well as preventative measures.

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This lecture by Anil Hingorani, MD will provide an overview of lower extremity venous disease, diagnosis to management.

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The lecture by Collin Pehde, DPM, will review the indications for external fixator utilization in foot and ankle reconstruction.  

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This lecture by Anil Hingorani, MD provides an overview of lower extremity arterial disease, diagnosis to management.

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In this lecture, Jaminelli Banks, DPM will discuss the crucial role of forefoot surgery in managing foot ulcers, particularly those related to diabetes. Surgical interventions are used for infection control, offloading pressure, correcting deformities, and preventing recurrence. A multidisciplinary approach, combining surgical and medical management, yields the best outcomes.

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The lecture will discuss the prevalence of calcaneal osteomyelitis. The discussion will include the etiology and progression of osteomyelitis of the calcaneus. How to diagnose Calcaneal osteomyelitis. Then the discussion will include the multiple treatment options available to treat osteomyelitis of the calcaneus, surgical and non- surgical options. The discussion will include the team approach, the need for multidisciplinary team to treat patients with an infection into their heel bone. Dr Randolph will also review the surgical principles to treat calcaneal osteomyelitis and her own surgical cases on calcaneal osteomyelitis with and without external fixation.

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This lecture by Arpana Jain, MD, FACS will explore thermal injury to the feet, focusing on risk factors like walking on hot surfaces and diabetic neuropathy, and classifying severity based on burn depth, with an emphasis on the high risk of functional contracture. Attendees will learn the tailored treatment strategy, from acute management with wound care and elevation to surgical interventions like early excision and skin grafting. Finally, the role of novel technologies, including advanced biologic skin substitutes and cellular therapies, will be analyzed for their ability to achieve superior functional outcomes in this critical, weight-bearing anatomical area.

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Rates of terbinafine, and even azole resistant dermatophytes are increasing. How is this resistance determined? Can you test for it? What does it mean to our current treatment approaches to onychomycosis? In this lecture, Warren S Joseph, DPM, FIDSA will cover these subjects along with the use of molecular testing to diagnose onychomycosis and how proper antifungal stewardship can minimize the impact of resistance organisms.

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Remote Temperature Monitoring by Christopher Japour, MS, DPM provides a comprehensive review of the growing burden of diabetic limb amputations associated with neuropathy and peripheral vascular disease, emphasizing the urgent need for standardized evaluation and evidence-based best practices in both prevention and surgical management. This lecture highlights how multidisciplinary care models improve outcomes by coordinating timely interventions, enhancing surveillance, and reducing avoidable amputations. Dr. Japour also explores the expanding role of remote temperature monitoring within virtual medical care, demonstrating how early detection of inflammation and tissue stress can transform patient oversight, enable proactive treatment, and support limb preservation.

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This lecture by Sunghwan Byun, FACFAS, DABPM explores the deeper meaning and practical application of true interdisciplinary collaboration in diabetic limb salvage. This lecture clarifies what distinguishes genuine interdisciplinary care from simple multidisciplinary involvement, defining the essential core elements that make a limb-salvage team effective, cohesive, and patient-centered. Dr Byun emphasizes the role of “medical diplomacy” in building strong partnerships—showing clinicians how to approach, communicate with, and align other specialties around shared goals. Through this framework, attendees gain actionable insight into fostering robust, collaborative teams capable of delivering superior outcomes for complex diabetic limb salvage patients.

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ESBL – is it an emerging infection? Is it an emerging diabetic foot infection? What do you do when you cannot use the standard, recommended treatment? Ksenija Topic, DPM, CCC-Pod IHS, will present two cases in order to attempt to answer the questions above.