Volume 15 - Issue 12 - December 2002

Feature »

CE: When Should You Perform Callus Distraction?

By Michael S. Downey, DPM | 12219 reads | 1 comments

The current use of callus distraction techniques in foot, ankle and lower leg surgery is constantly growing. The limits of callus distraction techniques appear to be those imposed by surgical access and fixation. As techniques and technology continue to improve, even more indications for callus distraction will evolve.
Callus distraction, also commonly referred to as distraction osteogenesis or callostasis, is the lengthening of a bone by manipulation of the bone callus during the healing process. Gavriel A. Ilizarov, a Russian-born physician, is credited with popularizing limb lengtheni



Feature »

What Are The Best Modalities For Charcot's Foot?

By Guy R. Pupp, DPM, David T. Savage, DPM, MS, and Mark B. Hellmann, DPM, MS | 20888 reads | 0 comments

Neuropathic osteoarthropathy is a debilitating condition that affects diabetic patients with peripheral neuropathy. This distinct pathologic entity, commonly known as Charcot’s arthropathy or Charcot’s joint disease, is characterized by pathologic fractures, joint dislocation and deformity, resulting in a foot at high risk for ulceration and amputation in severe cases.
Armstrong, et. al., found the prevalence of Charcot’s arthropathy ranges between 0.16 percent in the general diabetic population of patients to 13 percent of patients presenting to a high-risk diabetic foot clinic.1<



Feature »

How To Detect And Treat Chronic Compartment Syndrome

By Michael M. Cohen, DPM | 41159 reads | 0 comments

Certainly, one of the greatest challenges practitioners face is properly evaluating exercise-induced leg pain. All too commonly pigeonholed under the term shin splints, chronic (or exertional) compartment syndrome (ECS) is a unique disorder whose term specifies its clinical and pathological features. Those who treat the condition recognize the list of differentials can be exhausting and an accurate diagnosis is essential to providing proper treatment.
Compartment syndromes are either acute or chronic. The acute form first described by Volkman in 1881, is irreversible and may be initiated by



Editor's Perspective »

Taking Advantage Of The Net Effect

By Jeff Hall, Editor-in-Chief | 1657 reads | 0 comments

Have you taken advantage of the Internet to build your practice? Perhaps you’ve resisted the pull of new technology for one reason or another or maybe you have legitimate concerns about privacy issues, especially with the current emphasis on HIPAA. However, the emerging trends on Internet use, specifically as they relate to seeking health care information, are difficult to ignore.
Currently, 66 percent of adults in the United States are surfing the Web, according to the results of a Harris Interactive Poll released earlier this year. The pollsters estimate that 110 million adults in the U



Forum »

Zen And The Art Of Repairing Motorcyclists

By John McCord, DPM | 1890 reads | 0 comments

I have a love-hate relationship with motorcycles. I was called to the emergency room last week to treat a man who was hit by a car while riding his touring bike. I examined him and reviewed his X-rays. He had displaced fractures of three metatarsals and the cuboid of his right foot.
We talked about motorcycles for a few minutes and then I explained the nature of his foot injuries and what had to be done to repair the fractures. My interest in motorcycles gave me credibility even in his Fentanyl-induced haze.
I developed a passion for motorcycles as a young boy. I hung around a Harley-Davidso



News and Trends »

New Study Reveals Promise Of Linezolid For Diabetic Infections

By Brian McCurdy, Associate Editor | 6681 reads | 0 comments

In the wake of increasing threats of resistant bacteria strains such as MRSA, new data presented at the 40th Annual Meeting of the Infectious Diseases Society of America provides some hope. Researchers revealed that linezolid may have promise in treating diabetic foot infections caused by bacteria such as Staphylococcus aureus.
According to the results of the study, which involved over 350 patients at U.S. and European sites, 81.3 percent of the linezolid patients were “clinically cured,” compared to 71.3 percent of patients who received a standard aminopenicillin combination.
Be



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