- Volume 18 - Issue 7 - July 2005
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Promoting Wound Healing
The newest wound dressing uses a combination of several ingredients to remove exudate and promote healing.
In order to facilitate wound healing, Promogran Prisma™ Matrix combines collagen, oxidized regenerated cellulose (ORC) and silver ORC+, according to the manufacturer, Johnson & Johnson Wound Management. The company says the chronic wound dressing removes the destructive elements of the wound, maintains a bacterial balance, reduces bacterial growth and utilizes silver to ensure healthy growth of tissue.
In addition, the collagen creates a biodegradable matrix to ensure cellular invasion and capillary growth, and also fosters an environment to promote the formation of granulation tissue, epithelialization and optimal wound healing, according to Johnson & Johnson.
Johnson & Johnson notes the Promogran Prisma Matrix is indicated to manage diabetic, venous and pressure ulcers, as well as ulcers caused by mixed vascular etiologies. The company says the dressing is also indicated for full- and partial-thickness wounds, donor sites and other bleeding surface wounds, abrasions, traumatic wounds healing by secondary intention and dehisced surgical wounds. Johnson & Johnson says the product is not indicated for third-degree burns or patients who are sensitive to silver, ORC or collagen.
Company: Johnson & Johnson Wound Management
Product: Promogran Prisma Matrix™
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An Alternative For Pain Relief
When treating patients with various levels and types of pain, DPMs now may consider another product for pain relief.
One may use the non-selective NSAID Nalfon 200 (fenoprofen calcium capsules, USP) to help treat mild to moderate pain, rheumatoid arthritis and osteoarthritis. Pedinol Pharmacal, the manufacturer of the product, says the medication works quickly and patients generally tolerate it well.
Nalfon 200 is available via prescription in 200-mg capsules. As Pedinol notes, patients can take the recommended dosage of 200 mg every four to six hours as necessary for mild to moderate pain.
Company: Pedinol Pharmacal
Product: Nalfon 200
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A Supportive AFO
A new version of a tried-and-true brand of ankle foot orthosis (AFO) has emerged and may be helpful in managing several conditions.
The California AFO, the latest addition to Eastern Podiatry Lab’s Richie Brace® AFO lineup, provides enhanced stability for the foot and eliminates motion in the hindfoot and ankle, according to the manufacturer. The custom AFO is indicated for patients with severe degenerative joint disease of the ankle or hindfoot, end-stage posterior tibial tendon dysfunction (PTTD) and Charcot arthropathy.
The California AFO features a leather boot closure and patented Arch Suspender, both of which lock the foot and lower leg into the brace, according to the company. It adds that the rearfoot stabilizing bar offers extrinsic support to control frontal plane rotation.
Eastern Podiatry Lab says the fully padded plastazote liner is laminated under the leather, which enhances comfort for patients. Patients can easily tighten the closure straps and put on the AFO since the open entry system does not have “D” rings, laces or a closed tongue, according to the manufacturer.
The company adds that the product’s closed, solid heel cup can prevent the orthotic from “bulging” away from malleolar control areas and the orthotic’s trim lines avoid irritation over malleoli and talonavicular joint areas.