Volume 15 - Issue 11 - November 2002
Surgical Pearls »
There are many methods you can use to prepare the first metatarsophalangeal joint (MPJ) for arthrodesis. One of those techniques involves using a cup and cone reamer system. Using this system can be helpful, especially when there has been some trauma to the joint surface, when you’re dealing with an extremely arthritic joint with hypertrophy or when the patient has a square metatarsal head. These conditions could potentially prohibit an exact coaptation of the opposing bones.
However, the cup and cone reamer system (Howmedica) is designed to take advantage of the convexity of the first met
Technology In Practice »
As more literature surfaces about the potential benefits of hyaluronic acid in healing difficult wounds, podiatrists are starting to take a closer look at the IPM Wound Gel, a 2.5% sodium hyaluronate-based wound dressing. According to L.A.M. Pharmaceutical, the manufacturer of the product, a study found that 27 patients with 53 refractory ulcers were able to achieve an 89 percent healing rate within 25 weeks of using the gel.
Robert Snyder, DPM, says similar research on the IPM Wound Gel was conducted at the University of Miami.1
“Their data suggests the (IPM Wound Gel) may enha
Wound Care Q&A »
Neuropathic ulcers can be extremely problematic for diabetes patients and podiatrists alike. Exploring the ins and outs of surgical treatment, our expert panelists take a closer look at specific ulcers, helpful techniques, the merits of preoperative vascular testing and postoperative protocols.
Q: Do you perform prophylactic diabetic foot surgery? If yes, what are the common types of situations in which you would use this treatment option?
A: All of the panelists consider prophylactic surgery in diabetes patients when conservative treatment options have failed to resolve an ulcer.
In a survey of professional athletic trainers and team physicians, Achilles tendonitis ranked third behind ankle sprains and plantar fasciitis as the primary presenting complaint within the athletic population.1 Additionally, it accounts for up to 18 percent of all running injuries.2 The condition is highly prevalent among runners, but it is also common in any athlete who endures repetitive high impact microtrauma.3
Pressure ulcer disease represents a significant medical problem both nationally and internationally. Approximately 1.7 million people in the United States develop these maladies at an annual cost of between $2.2 billion and $3.6 billion.1 With the population aging, assisted living and nursing facilities flourishing and obesity creating catastrophic increases in diabetes and other diseases, it is likely the number of ulcerations will continue to increase.
The pressure ulcer is an area of localized damage to the skin and underlying tissue caused by pressure, sheer, friction and/or a
Some days, it seems to be an epidemic. As you read the patient information sheet prior to entering the examination room to meet a patient for the first time, you start to wonder if everyone will eventually wind up with heel pain at some point in their lives. Sometimes it is easy to see why a person might be suffering with heel pain. Obesity, poor shoe selection and a job that requires extensive standing or walking are obvious contributing factors.
In other situations, the cause(s) might be more perplexing. For instance, when a patient who has already received orthotic devices or even one who