Editorial Staff

  • Executive Editor/VP-Special Projects:
    Jeff Hall
  • Senior Editor
    Brian McCurdy
  • Circulation and Subscriptions
    Bonnie Shannon
  • Art Director:
    Alana Balboni
  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
    Suite 100, Malvern PA 19355
  • Telephone: (800) 237-7285, ext. 214
    Fax: (610) 560-0501
  • Email: jhall@hmpcommunications.com
  • March 2008 | Volume 21 - Issue 3
    Here one can see a diabetic foot ulcer (DFU). Peripheral arterial disease is cited by the panelists as a key risk factor for the development of these ulcers. The panelists emphasize the importance of a multidisciplinary team in preventing DFUs.
    Clinical Editor: Lawrence Karlock, DPM
    16,379 reads | 0 comments | 03/03/08
    When it comes to patients with diabetes and lower extremity ulcers and complications, what does the evidence-based medicine say about high-risk patients and proactive prevention? These panelists examine risk factors for ulcerations, appropriate screening and offer their thoughts on what works and what does not work in terms of prevention.   Q: What does evidence-based medicine show in regard to who is at risk for limb loss and foot ulcerations? A: Thomas Zgonis, DPM, says approximately 15 percent of patients with diabetes will experience a ... continue reading
    Kathleen Satterfield, DPM, FACFAOM, FAPWCA
    4,866 reads | 0 comments | 03/03/08
    The patient with diabetic neuropathy is truly overwhelmed. He or she has gone through the discovery of the disease and perhaps a subsequent refusal to believe it. The patient may not have been following the diet or medication regimen, and now he or she is facing neuropathy and other complications. These patients are now facing decisions about shoes, medications and perhaps even surgical decisions. There may have been career changes, difficulty paying bills and even shifting relationships. ... continue reading
    Here one can see a community-acquired MRSA infection in a college athlete with excoriation. Repeated close physical contacts and skin injuries such as cuts and abrasions put athletes at an increased risk for CA-MRSA infections.
    Guy Pupp, DPM, FACFAS, and Carmen B. April, DPM
    26,897 reads | 0 comments | 03/03/08
    In the past few months, we have heard numerous reports in the news about a “new super bug” that is resistant to conventional antibiotics and is sweeping through high school sports locker rooms and classrooms. The alleged new super bug is methicillin resistant Staphylococcus aureus (MRSA) and, more specifically, community-acquired MRSA (CA-MRSA). However, MRSA is not a new type of bacteria that has suddenly appeared in the community. The organism has actually been around for quite a few decades. In 1941, all S. aureus isolates were suscept ... continue reading
    Keywords:

    4,445 reads | 0 comments | 03/03/08
    A Unique Dressing A new dressing attacks wounds from more than one angle. Biostep™ Ag Collagen Matrix Dressings use a unique dual-action approach to target and deactivate excess matrix metalloproteinases (MMPs), according to the manufacturer Smith and Nephew Wound Management. The company says the dressings also use the antimicrobial effects of silver to minimize the chance of infection. Smith and Nephew says Biostep has a six-day wear time and is more absorbent than other dressings. ... continue reading
    Ronald A. Sage, DPM
    16,804 reads | 0 comments | 03/03/08
    A diabetic patient on dialysis presented with a non-healing great toe wound with exposed bone. A study submitted to the SAWC found a 19.5 annual incidence of ulceration in diabetic patients on hemodialysis.
    Brian McCurdy, Senior Editor
    4,709 reads | 0 comments | 03/03/08
      Two abstracts, which will be presented at the upcoming Symposium on Advanced Wound Care (SAWC), seek to address the impact of dialysis upon diabetic wound healing and the long-term mortality rates of those who undergo non-traumatic amputation. For the one abstract’s retrospective review, researchers evaluated 150 patients with diabetes on hemodialysis. These patients had 30 months of follow-up for foot ulcers, infections, amputations and death. The abstract authors sought to determine if the patients received “standard preventative care” consistent with patien   ... continue reading
    Here one can see a hallux ulcer in a foot with hallux limitus. The ulcer healed in two months after surgeons performed a Keller arthroplasty to reduce the plantar pressure.
    Lee C. Rogers, DPM
    11,790 reads | 0 comments | 03/03/08
    The World Health Organization and the International Diabetes Federation have stated that up to 85 percent of diabetic lower extremity amputations are preventable. There are approximately 82,000 diabetes-related lower extremity amputations (LEA) annually at an estimated cost of over $11 billion.1,2 Eighty-five percent of amputations are preceded by a foot ulcer.3 Diabetic foot ulcers are caused by neuropathy, deformity and repetitive microtrauma.4 The treatment of diabetic foot ulcers may cost the United States healthcare system as much as $19 billion ... continue reading
    This MRI is of a 48-year-old patient who presented complaining of numbness in the ball of his right foot. He said he had more pain with rest than with activity.
    Dina Stock, DPM, Cory Baxter, DPM, James Sferra, MD, Christopher Herbert, DPM, and Elizabeth Baracz, BS
    23,738 reads | 0 comments | 03/03/08
    Tarsal tunnel syndrome is an entrapment of the posterior tibial nerve or its branches within the tarsal tunnel.1 This syndrome is most frequently unilateral as opposed to carpal tunnel syndrome in the upper extremity, which is typically bilateral.2 Keck and Lam first described the term “tarsal tunnel syndrome” in 1962.3,4 Malaisé first described the clinical signs and symptoms of tarsal tunnel syndrome in 1918. Some of the symptoms include numbness or tingling in the soles of the feet and toes or a burning pain in the ankles. ... continue reading
    Babak Baravarian, DPM
    18,146 reads | 0 comments | 03/03/08
    The treatment of patients with diabetes and associated complications has been extensively studied. Over the past several decades, the treatment of foot and ankle ailments in patients with diabetes has dramatically shifted from conservative measures of “do not perform surgery” to the present day thinking that has taught us that diabetic feet are not very different from normal feet. The most common misconception with diabetic foot ailments has been that the loss of limbs is due to severe vascular problems. However, with time, we have found that vascular issues in the ... continue reading
    The NexFix RFS Pins offer a combination of self-locking technology and a patented, grooved surface design. Gary Lepow, DPM, says he has used the pins for a variety of osteotomy procedures and has had no complications to date.
    Robi Garthwait, Contributing Editor
    3,333 reads | 0 comments | 03/03/08
    For podiatric surgeons who are looking for new additions to their internal fixation armamentarium, the NexFix RFS (Resorbable Fixation System) Pin may be a viable option. The NexFix RFS Fin offers a combination of self-locking technology and a patented grooved surface design. Tornier, the manufacturer of the product, says the RFS Pin provides enhanced rotational stability, improved flexibility to accommodate different drill hole sizes and channels for potential vascularization. Charles Zelen, DPM, notes he has had success using the NexFix RFS Pin for various osteotomies. & ... continue reading