Volume 21 - Issue 4 - April 2008

Technology In Practice »

Does The TOG GaitScan Facilitate Optimal Orthotic Therapy?

Robi Garthwait, Contributing Editor | 4191 reads | 0 comments

For even the most experienced practitioners, it can be difficult to find the best orthotic solution to help address abnormal foot function. A gait analysis system is often necessary to accurately assess an individual’s need for orthotic therapy.
The TOG GaitScan™ enables physicians to record timing sequences during gait as a patient walks or runs across a pressure plate. The product utilizes 4,096 sensors and scans at a rate of 300Hz (scans per second) to produce over 1 million data points to aid in foot analysis, according to The Orthotic Group, the manufacturer of the T

News and Trends »

Study Says NPWT More Effective Than Moist Dressings For DFUs

Brian McCurdy, Senior Editor | 14900 reads | 0 comments

Negative pressure wound therapy (NPWT) is more effective than advanced moist wound therapy in facilitating the closure of diabetic foot ulcers and reducing secondary amputations. These are the findings of researchers who recently published the largest randomized, multicenter, controlled trial on NPWT.
In the study, which was published in Diabetes Care, researchers randomized 169 patients to VAC Therapy (KCI) and 166 patients to advanced moist wound therapy (primarily hydrogels and alginates). Patients had stage 2 or 3 (as per the Wagner scale) calcaneal, dorsal or plan

Diabetes Watch »

Waveform Electrostimulation: Can It Be Another Option For Painful Peripheral Neuropathy?

Raymond Abdo, DPM, and Jaret Walker, DPM | 23497 reads | 0 comments

According to the Centers for Disease Control and Prevention (CDC), approximately 7 percent of the population in the United States has diabetes mellitus. Approximately 30 percent of patients with diabetes over the age of 40 have some kind of impaired sensation of the foot. Sensorimotor neuropathy is the primary risk factor for developing a diabetic foot ulcer, which leads to 85 percent of diabetic lower extremity amputations.1
Sensory neuropathy causes paresthesia and loss of protective sensation, which can lead to ulcerations and lower extremity amputations. Motor n

Dermatology Diagnosis »

When A Patient Has An Unusual Growth On A Toe

Joel Morse, DPM | 52236 reads | 0 comments

A 43-year-old African-American male presents to the office with an irritated fourth toe with no known trauma to the toe. There is a horny projection of skin coming from the posterior nail fold with a nail-like structure at the tip. It has been present for the past two years and had recently become larger.

The lesion is asymptomatic except for physical inconveniences.
The patient reports that the toe is painful only in shoes. The patient works as a custodian and spends a lot of time on his feet. He has recent onset diabetes of three years but has not been to a podiatrist in the

Orthotics Q&A »

How To Address Key Biomechanical Issues With Second MPJ Injuries

Guest Clinical Editor: Douglas Richie Jr., DPM | 16121 reads | 0 comments

Injuries to the second metatarsophalangeal joint (MPJ) can be challenging to treat. Our expert panelists discuss predisposing factors to injury and review pertinent biomechanical considerations. They also discuss conservative treatment options, including variations of orthotic therapy and modifications that they have employed in clinical practice.

Q: What are the predisposing factors (gender, foot type, activity, etc.) that are associated with injuries to the second MPJ?
A: Second MPJ injuries may have a variety of etiological causes, accordi

Feature »

A Closer Look At Locking Plates In Podiatric Surgery

Kwame A. Williams, DPM, and Lawrence A. DiDomenico, DPM, FACFAS | 12541 reads | 0 comments

Using plates and screws for bone fixation is a standard and successful technique. However, any fixation with plates and screws involves some amount of additional trauma and insult to the osseous blood supply of fracture fragments. These disturbances increase the risk of delayed union and infection.1
Indeed, reconstructive and trauma procedures of the foot and ankle present unique challenges for foot and ankle surgeons. As these cases grow in complexity, certain principles prevail in ensuring predictable and successful outcomes. These principles emphasize the protection of