Volume 22 - Issue 7 - July 2009

Diabetes Watch »

Can New Hemostatic Dressings Facilitate Sharp Debridement In High-Risk Patients?

Clark Schierle, MD, PhD, and Julie Krol, MS, PA-C | 14587 reads | 0 comments

   Sharp debridement is a critical step to promote healing and allow the body to repair chronic wounds as naturally and healthily as possible. Removing necrotic tissue and biofilm from the surface of chronic wounds converts chronic wounds into acute ones, effectively “resetting” the wound healing cascade and allowing the healing process to take place.

Letters »

Addressing Skin Tension With Biopsies

3396 reads | 0 comments

   I would like to applaud Tracey Vlahovic, DPM, for her article entitled “A Guide to Biopsy Techniques for Skin Neoplasms” (see page 50–56 in the May issue of Podiatry Today). Any information that turns attention to the skin biopsy in podiatric literature is sorely needed.

News and Trends »

July 2009

6747 reads | 0 comments

Study Cites Link Between Higher Triglycerides And Diabetic Neuropathy

By Brian McCurdy, Senior Editor

   A recently published study in Diabetes suggests a correlation between elevated triglyceride levels and diabetic neuropathy, lending credence to the idea that hyperlipidemia is a factor in the progression of diabetic neuropathy.

Feature »

Assessing The Impact Of Extracellular Matrices

Gerit Mulder, DPM, MS, FAPWCA, and Daniel K. Lee, DPM, FACFAS | 7517 reads | 0 comments

Biological extracellular matrices may play a valuable role in reducing potential complications and facilitating improved wound healing. Accordingly, these authors review the literature, discuss key considerations with the use of these products in chronic wounds, and share their insights on the potential of an emerging xenograft.

Feature »

Current Concepts In Surgical Offloading Of DFUs

Howard Kimmel, DPM, MBA, Jennifer Regler, DPM, and Jeremy Gray, DPM | 9539 reads | 0 comments

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.

Point-Counterpoint »

Is Foam More Effective Than Gauze With Negative Pressure Wound Therapy?

Point: Lee C. Rogers, DPM, Counter Point: Michael Miller, DO | 13776 reads | 0 comments

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.