{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:46:55Z","timestamp":1793832415168,"version":"4.6.1"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"15-16","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Medical University of Vienna","id":[{"id":"https:\/\/ror.org\/05n3x4p02","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Wien Med Wochenschr"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A\u00a057-year-old male patient presented with the first manifestation of severe type\u00a02 diabetes mellitus in the setting of diabetic foot syndrome complicated by osteomyelitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The patient was treated conservatively within a\u00a0multimodal interdisciplinary approach. In addition, focused extracorporeal shockwave therapy (fESWT) was performed according to International Society for Medical Shockwave Treatment (ISMST)-oriented principles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After five sessions of fESWT, local wound management resulted in extraction of a\u00a0relevant bony sequestrum. Following sequestrum removal, a\u00a0large wound cavity remained in the region of the right first toe (digitus\u00a0I pedis), corresponding approximately to the size of an entire phalanx. Remarkably, within only 4\u00a0days, rapid and substantial granulation of the deep wound cavity was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The present case supports the hypothesis that focused ESWT may represent a\u00a0clinically relevant adjunctive treatment option in selected patients with diabetic foot syndrome and complicated wound healing disorders. At the same time, it highlights the need for prospective randomized controlled trials.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10354-026-01184-1","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T11:36:53Z","timestamp":1786966613000},"page":"406-409","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Extracorporeal shockwave therapy as a\u00a0key component of interdisciplinary wound management in diabetic foot syndrome","Extrakorporale Sto\u00dfwellentherapie als relevanter Baustein im interdisziplin\u00e4ren Wundmanagement beim diabetischen Fu\u00dfsyndrom"],"prefix":"10.1007","volume":"176","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9177-0101","authenticated-orcid":false,"given":"Richard","family":"Crevenna","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoltan","family":"Vass","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Mickel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Leutner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuren","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Keilani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"1184_CR1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3657","volume":"40","author":"NC Schaper","year":"2024","unstructured":"Schaper\u00a0NC, van Netten\u00a0JJ, Apelqvist\u00a0J, IWGDF Editorial Board, et\u00a0al. Practical guidelines on the prevention and management of diabetes-related foot disease (IWGDF 2023 update). Diabetes Metab Res Rev. 2024;40:e3657. https:\/\/doi.org\/10.1002\/dmrr.3657.","journal-title":"Diabetes Metab Res Rev"},{"key":"1184_CR2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-35806-0","volume":"13","author":"M Kaleta","year":"2023","unstructured":"Kaleta\u00a0M, Leutner\u00a0M, Thurner\u00a0S, et\u00a0al. Trends in diabetes incidence in Austria 2013-2017. Sci Rep. 2023;13:8715. https:\/\/doi.org\/10.1038\/s41598-023-35806-0.","journal-title":"Sci Rep"},{"key":"1184_CR3","doi-asserted-by":"publisher","first-page":"1684","DOI":"10.12998\/wjcc.v11.i8.1684","volume":"11","author":"JM Raja","year":"2023","unstructured":"Raja\u00a0JM, Maturana\u00a0MA, Kayali\u00a0S, et\u00a0al. Diabetic foot ulcer: A comprehensive review of pathophysiology and management modalities. 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