BKA Explained: Surgery, Choices, Rehab & What Comes Next

BKA Explained: Surgery, Choices, Rehab & What Comes Next

In this episode of Diabetic Foot Files we walk through below‑knee amputation (BKA): why it’s performed, how surgeons select the level, and the step‑by‑step surgical technique including flap design, vascular and nerve management, and bone handling.

We discuss risks of delaying surgery, post‑op care and staged rehabilitation, pain and phantom limb strategies, and the key questions patients and families should ask when facing a BKA.

Clinically accurate, compassionate, and practical—this episode helps patients and caregivers understand when BKA can be life‑saving and how to prepare for recovery and return to function.

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Episoder(316)

Wound Intelligence Wednesday: Atraumatic Dressings for Diabetic Limbs

Wound Intelligence Wednesday: Atraumatic Dressings for Diabetic Limbs

This episode explains traumatic dressing selection for diabetic wounds, emphasizing atraumatic (especially silicone-based) dressings that protect fragile peri-wound skin, preserve keratinocytes and ca...

10 Jun 27min

Beyond Closure/ Post Healing Maintenance : Inside the Long Remodeling Phase of Wound Healing

Beyond Closure/ Post Healing Maintenance : Inside the Long Remodeling Phase of Wound Healing

Dr. G explains why skin closure in diabetic foot ulcers is a transition, not a cure: the remodeling phase can last months to years, leaving the scar biologically weaker and at high risk of recurrence....

9 Jun 31min

Pentoxifylline: How a 'Blood-Flow' Drug Helps Diabetic Foot Ulcers

Pentoxifylline: How a 'Blood-Flow' Drug Helps Diabetic Foot Ulcers

In this episode of Diabetic Foot Files Dr. G explores pentoxifylline — a decades-old methylxanthine drug — and how it improves microcirculation, reduces blood viscosity and inflammation, and may suppo...

8 Jun 21min

The Hidden Thief: How Dehydration Stops Diabetic Foot Ulcer Healing

The Hidden Thief: How Dehydration Stops Diabetic Foot Ulcer Healing

This episode explains how chronic dehydration—often overlooked in diabetic patients—slows blood flow, reduces oxygen and nutrient delivery, and stalls cellular repair, turning otherwise manageable foo...

7 Jun 28min

Why Vaseline Can Be Dangerous for Diabetic Feet

Why Vaseline Can Be Dangerous for Diabetic Feet

This episode explains what Vaseline (petroleum jelly) does: it is an occlusive that seals moisture in but does not hydrate. It can soften intact dry skin but is unsafe for diabetic ulcers, macerated o...

6 Jun 24min

LIMBWatch Series: Stephanie Stellini - Turner PAC, CWS-  Inside Life-Saving Reconstructive Surgery with Stephanie Stellini Turner

LIMBWatch Series: Stephanie Stellini - Turner PAC, CWS- Inside Life-Saving Reconstructive Surgery with Stephanie Stellini Turner

In this episode of Diabetic Foot Files — Limb Watch Edition, Stephanie Stellini Turner, a surgical physician assistant at Christiana Care, discusses the realities of reconstructive and limb salvage ca...

4 Jun 51min

Sunshine Medicine: How Vitamin D Heals Diabetic Foot Ulcers

Sunshine Medicine: How Vitamin D Heals Diabetic Foot Ulcers

Dr.G explores how vitamin D — produced by sunlight and acting like a hormone — impacts diabetic foot healing. He covers its roles in immune regulation, antimicrobial peptide production, inflammation c...

3 Jun 25min

Why Your Wound VAC Hurts: The Hidden Pain Behind Healing

Why Your Wound VAC Hurts: The Hidden Pain Behind Healing

Dr. G explains why negative pressure wound therapy (wound VAC) can cause significant pain—covering foam adherence, nerve ingrowth, inflammation, and the four types of VAC-related pain. He highlights w...

2 Jun 19min

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