Objectives: The aim of this study was to investigate the association between preoperative physical function and life prognosis in patients with chronic limb-threatening ischemia (CLTI).
 Material and methods: We retrospectively reviewed 95 patients with CLTI (95 limbs) who underwent preoperative evaluation and subsequent revascularization between 2017 and 2023. Preoperative evaluation was conducted by members of a specialized CLTI team. Multivariate analysis was performed to examine risk factors for death after revascularization.
 Results: Of 95 CLTI patients, 65 patients (68%) showed decreased grip strength (male<28 kg, female<18 kg) . During follow-up with a median period of 19 months, 35 patients died, and the 2-year survival rate was 67.3%. Multivariate analysis revealed associations between mortality and decreased grip strength (hazard ratio［HR］10.13; 95% confidence interval［CI］, 1.37-75.19; p=0.024), hypertension (HR 3.26; 95%CI 1.11-9.59; p=0.031) , and contralateral CLTI (HR, 2.22; 95%CI 1.11-4.42; p=0.023).
 Conclusions: Decreased grip strength (male<28 kg, female<18 kg) was associated with mortality in CLTI patients. Our findings suggest that grip strength testing should be considered a necessary component of preoperative evaluation in these patients.

 Background: Previous studies have shown a high prevalence of foot problems among community-dwelling older adults. This scoping review aims to explore the foot health of older people living in the community and to identify strategies to support foot health in older people.
 Methods: PubMed, Google Scholar, the online version of the Cumulative Index to Nursing and Allied Health Literature, and the Japanese Nursing Association Library’s Latest Nursing Search Web were used to search for eligible publications related to foot health and strategies. Studies focusing on a variety of foot issues and strategies, including interventions and measurements, were included. Studies focusing on detailed anatomy and physiology, nutrition, and lower limb function were excluded.　
 Results: The search provided 339 studies, leading to the inclusion of 142 studies. The literature was classified into three categories: foot health issues, foot interventions, and measurements for assessment using inductive content analysis. The characteristics of foot health issues and strategies were identified. Comprehensive assessment led to identifying foot health needs, and appropriate strategies need to be implemented.
 Conclusion: Older people living in the community have many foot problems. Summarizing and identifying the available research evidence is essential for understanding global foot health issues. The findings of this review can serve as a basis for developing strategies to improve the foot health of community-dwelling older adults.

 The rising prevalence of diabetes has been accompanied by an increase in the incidence of diabetic foot complications. In 2008, foot care became eligible for insurance reimbursement in Japan and many medical institutions have established foot care outpatient clinics. Certified nurses in diabetes care (CNs) and those in skin and excretion care (WOCNs) both play important roles in these settings; however, the specific differences in their expertise remain to be elucidated.
 This review included 10 domestic articles（2008–2024）on foot care for diabetic patients. We aimed to identify the unique and common perspectives of diabetes CNs and WOCNs and propose a framework for standardizing nursing interventions. We found that diabetes CNs emphasize patient-centered care and aim to promote awareness of self-care, whereas WOCNs focus on advanced wound management, including offloading strategies. Despite their distinct emphases, both prioritize continuous self-care support and interdisciplinary collaboration. These shared and complementary perspectives likely reflect variations in educational backgrounds and expected roles. Building on these insights, we present a conceptual model anchored in Tanner’s clinical judgment model to illustrate how the expertise of both nursing specialties can be integrated.

 Objective: Patients who undergo lower limb amputations due to diabetic foot lesions often exhibit reduced exercise tolerance due to the presence of comorbidities. In the present case, we administered physical therapy interventions tailored to a patient with limited exercise tolerance, focusing on wheelchair independence and parallel bar gait training. This report details the therapeutic approach and evaluates its impact on prosthetic gait acquisition.
 Case Description: A male in his early 60s underwent left transtibial amputation for gas gangrene and was transferred to a rehabilitation hospital. The patient presented with sensory impairment and foot drop in the non-amputated limb, accompanied by marked muscle weakness and joint mobility restriction. He required assistance for wheelchair-dependent daily activities.
 Intervention: The rehabilitation plan focused on improving exercise tolerance, postural balance, joint range of motion, and muscle strength. Special emphasis was placed on achieving prosthetic ambulation while maintaining independence in wheelchair-dependent activities.
 Results: Improvements in exercise tolerance, muscle strength, and joint mobility were observed, which enabled independent ambulation within 20 days of prosthetic fitting. The patient was discharged home 120 days after admission.　
 Discussion: A stepwise rehabilitation approach improved the patient’s physical activity and facilitated successful prosthetic ambulation. Even for patients with complex impairments, appropriate rehabilitation interventions can increase the likelihood of achieving independent prosthetic ambulation.

 The patient was a 76-year-old woman who twisted her left ankle, resulting in an open fracture-dislocation of the left ankle joint. She underwent temporary external fixation surgery, followed by open reduction and internal fixation on the 13th day post-injury. However, the wound dehisced at both the medial and lateral malleoli six days after surgery, and by four weeks postoperatively, the plate had become exposed. Following debridement under general anesthesia, negative pressure wound therapy with instillation and dwelling（NPWTi-d）was initiated. One week later, granulation tissue was observed in the screw hole of the plate. To promote further granulation, two screws were subsequently removed. Five weeks after the introduction of NPWTi-d, the plate was completely covered with granulation tissue. By eight weeks postoperatively, the wound had fully epithelialized. Few studies have reported the use of NPWT for exposed plates in anatomically challenging areas with limited soft tissue coverage such as the ankle joint. In the present case, we observed granulation tissue originating from the screw hole fusing with granulation at the wound edge, resulting in coverage of the plate. This pattern of granulation may facilitate epithelialization during plate preservation.