Cultura

Creativity as Governance: Hybridity, Dispositif, and the Institutional Organization of Imagination in Indian Contexts

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Dr. D. Venkata Ramana Moorthy, Pulicherla Devakanth, Dr. K. Parama Sivam, Dr. Ravikumar Kodali, Dr. Kore Koteswara Rao

Abstract

This article advances a reconceptualization of creativity as an institutionally embedded mode of governance, thereby challenging dominant Eurocentric paradigms that construe creativity as an instrumental precursor to innovation. Drawing on qualitative interpretive insights from Indian organizational contexts, it develops a multilingual theoretical framework integrating dispositif, gouvernementalité, Lebenswelt, habitus, and savoir-faire. The analysis demonstrates that creativity is neither an autonomous expressive force nor a purely managerial technique, but a regulated, relationally sustained, and culturally mediated phenomenon enacted through hybrid configurations of formal managerial Ordnung and locally embedded institutional logics. By theorizing hybridity as a processual negotiation rather than a structural condition, the article positions Indian organizations as theory-generative sites for rethinking creativity in plural modernities. It contributes to organizational theory by advancing a governance-oriented, decolonized understanding of creativity, foregrounding the institutional organization of imagination.

Keywords : Creative Governance; Organizational Hybridity; Dispositif; Gouvernementalité; Lebenswelt; Habitus; Tacit Knowledge; India; Organization Studies.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty