4 day theoretical course & practical training

09.00

Introduction 

A. Piaggesi

09.30

The diabetic foot today

Karel Bakker

10.00-13.00

Neuropathy and the foot: From Plantar ulceration to Charcot's foot

Michael Edmonds

10.00

Pathogenesis

N. Petrova

10.30

The role of the biomechanical stress

S. Bus

10.50

Coffee break

11.20

Clinical presentation and evolution

M. Edmonds

11.50

Imaging

V. Zampa

12.20

Therapy

L. Rizzo

12.40

Discussion

13.00

Lunch

14.00

Transfer to DF Clinic (5 min walk)

14.30-17.30

Practical exercitations:
Participants will be divided in three groups rotating on three different settings lasting one hour each.

A. Screening lab
Risk assessment and patients dta management

B. Offloading
TCC and other options in the acute phase, orthesis and shoes for the chronic phase

C. Local therapy
How to debride a ulcer and to treat pre-ulcerative conditions, the choice and application of dressings, antiseptic usage

17.30-18.00

Discussion

19.00

Welcome Cocktail

20.00

Evening free

09.00-10.30

Diagnosis of infection

E. Senneville

09.00

Clinical presentations of infection in the DF

A. Piaggesi

09.30

Microbiological and labortory issues

E. Senneville

09.50-10.10

Imaging

V. Zampa

10.10-10.30

Discussion

10.30

Coffee break

11.00-13.10

Therapy of infection

V. Urbancic Rovan

11.00

Antibiotic therapy

F. Menichetti

11.30

The peri-operative management of the DF patient

B. Kuppers

11.50

The surgical management of the infcted DF

J. Aragon Sanchez

12.10

New technologies in the  treatment of osteomyelitis in DF

M. Schintler

12.30

The recostruction of the DF

C. Goretti

12.50

Discussion

13.00

Lunch

14.00

Transfer to DF Clinic (5 min walk)

14.30-17.30

Practical exercitations:
Participants will be divided in three groups rotating on three different settings lasting one hour each.

A. Negative pressure and new techologies
VAC and other options, Skin and drmal substitutes, bioactive medications 

B. Basic surgical skills -
How to prepare a surgical setting, how to drain an abscess, emostasis, sutures

C. Microbiological sampling and processing -
How to collect samples and process them for microbiological evaluations

17.30

Evening Free

09.00-10.30

From sub-clinical to critical limb ischaemia

J. Apelqvist

09.00

Clinical presentations

J. Apelqvist

09.20-09.40

Ultrasound and other non invasive diagnostic techniques

V. Napoli

09.40-10.00

Angiography and angio

MR. I. Bargellini

10.00-10.30

Discussion

10.30

Coffee break

11.00-13.00

The management of lower limb ischemia

S. Morbach

11.00

Indications to the revascularization

A. Scatena

11.20

Endovascular techniques

R. Cioni

11.40

Surgical revascularization

M. Ferrari

12.00

Medical management of the ischemnic patient

S. Morbach

12.30

Discussion

13.00

Lunch

14.00

Transfer to DF Clinic (5 min walk)

14.30-17.30

Practical exercitations:
Participants will be divided in three groups rotating on three different settings lasting one hour each.

A. Clinical evaluation and local management - Clinical evaluation, local anagement strategies, control of pain

B. Non invasive evaluation of LLI - Doppler CW and ABPI, Duplex scanning, TcPO2

C. Angiography and revascularization -
Live cases

20.00

Social event - Course Dinner

09.00-10.30

The organisation of a DF clinic

K. Van Acker

09.00

The organisational scenario

V. Urbancic Rovan

09.20

The multidisciplinary approach

K. Van Acker

09.40

The minimal model

S. Morbach

10.00

The maximal model

L. Rizzo

10.20

Discussion

10.30

Coffee break & check out

11.00

The manager's point of view

D. Ramaekers

11.30

The evaluation of the outcomes

J. Apelqvist

12.00

Discussion

12.30

Conclusion

A. Piaggesi

12.45

See-you-later Lunch

Departure / On your own in Pisa