Volume 15 - Issue 5 - May 2002
Numerous primary and revisional surgical procedures mandate using either osseous autografts or allografts. Although allografts continue to increase in popularity, most podiatric surgeons will agree that autografts offer distinct advantages in healing and are preferable when possible. In comparison to autogenous grafts, allografts help facilitate an absence of donor site morbidity, unlimited supply and decreased surgical time. However, autografts provide numerous benefits such as host compatibility, viable precursor cells and superior immunologic properties.1,2
As with any surgical procedure
News and Trends »
What is the best treatment approach for seniors who have painful arthritis in the first MPJ? Arthrodesis may provide significant pain relief for these patients, according to the results of a recent 29-patient study presented at the annual meeting of the American College of Foot and Ankle Surgeons (ACFAS).
A retrospective analysis revealed that 100 percent of 19 patients who responded to a survey said they were satisfied with the results of the arthrodesis, which involves fusing arthritic bones to inhibit motion and eliminate the arthritis. These patients also noted they would undergo the proc
Surgical Pearls »
When patients experience intense pain, a burning sensation, tightness and/or numbness in the lower extremities during exercise activity, and the pain usually resolves quickly once the patients stop the activity, you may be looking at exertional compartment syndrome (ECS). ECS is certainly one of the more confounding conditions as differentiating between the various leg pains can be difficult.
Parasthesia to the anterior leg, ankle or between the first and second metatarsal is indicative of anterior leg compartment involvement. In addition, weakness of ankle dorsiflexion or a drop foot also in
Wound Care Q&A »
Many patients with non-healing ulcers are already in significant pain prior to surgery. Many of these patients will require escalating doses of pain medications following surgical debridement and grafting. Some will already have developed tolerances to pain medications. So, what do we prescribe to control their pain? More importantly, what can we prescribe and still maintain a level of comfort in writing the prescription?
With these questions in mind, Robert Snyder, DPM, engaged in a Q&A session with Andrew J. Goldberg, MD, the Director of the Northwest Pain Management Center in Margate, Fla
Technology In Practice »
Why aren’t more DPMs using the AmeriGel Wound Dressing for post-matrixectomies? After all, it is a product that reportedly promotes faster healing and, as a no-soak alternative, facilitates higher patient compliance. Well, it turns out that people are catching on to the benefits of the AmeriGel Wound Dressing. According to the manufacturer AmerX Health Care, over 1,000 podiatrists are using the product to treat their patients.
“AmeriGel has worked well for most of my patients,” says Gerald Travers, DPM. “AmeriGel seems to speed the post-op recovery and reduce the tenderness involved w
Editor's Perspective »
Older ankle implants, initially used in the late ‘70s and early ‘80s, were failures. They either popped out, wore out or subsided into the bone. One podiatric surgeon recalls removing at least one failed ankle implant a week during his residency. Lately, however, there has been a resurgence of interest in ankle implants, although a palpable amount of trepidation and skepticism remains.
While only a handful of podiatric surgeons in the United States have used the newer implants (the Agility Ankle and the Beuchel-Pappas device), the majority believe they are more biocompatible. They are rep