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  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
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  • July 2009 | Volume 22 - Issue 7
    Howard Kimmel, DPM, MBA, Jennifer Regler, DPM, and Jeremy Gray, DPM
    9,758 reads | 0 comments | 06/26/09
    When one ensures proper patient selection, surgical offloading may offer key benefits for patients with diabetic foot ulcerations. Accordingly, these authors offer insights and review study findings on the use of flexor tenotomies, metatarsal head resection, Achilles tendon lengthening and external fixation to help facilitate optimal outcomes. ... continue reading
    Point: Lee C. Rogers, DPM, Counter Point: Michael Miller, DO
    14,128 reads | 0 comments | 06/25/09
    Yes. Lee C. Rogers, DPM cites the evidence from negative pressure wound therapy (NPWT) trials and says the characteristics of NPWT foam facilitate the development of granulation tissue and improved healing in diabetic foot ulcers.    There is no question that negative pressure wound therapy (NPWT) is a valuable modality in facilitating wound closure. In particular, the use of foam dressings with NPWT has demonstrated success in reducing wound surface size and accelerating the formation of granulation tissue. ... continue reading
    Kazu Suzuki, DPM, and Lisa Cowan, PhD, MS-2
    39,495 reads | 2 comments | 06/25/09
    Appropriate debridement sets the stage for the conversion of chronic wounds into acute wounds, and eventual healing. With this in mind, these authors discuss essential patient considerations and offer a salient overview of debridement options ranging from sharp debridement to the emergence of ultrasonic debridement. ... continue reading
    Alexander M. Reyzelman, DPM, FACFAS, and Narek Garukyan, BS
    18,305 reads | 0 comments | 06/25/09
    Given the potential complications associated with chronic wounds in high-risk patients, the authors debate the merits of different approaches to wound closure and explore emerging concepts in the combination of mechanical assistance and tissue expansion to facilitate improved healing. ... continue reading