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  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
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  • March 2010 | Volume 23 - Issue 3
    Shirley M. Catoire, DPM, Peter A. Blume, DPM, and Bauer E. Sumpio, MD
    10,788 reads | 0 comments | 02/23/10
    While there may be a perception of amputation as a failure in treatment, these authors maintain that amputation salvage procedures do play a role in limb preservation and can enhance the quality of life for patients with diabetes. They address the timing and decision-making with these procedures and review emerging advances in prosthetics. ... continue reading
    Lee C. Rogers, DPM, and Nicholas J. Bevilacqua, DPM
    16,556 reads | 0 comments | 02/23/10
    Given the potential complications of Charcot foot in the diabetic population, these authors review the pathophysiology of the disease, discuss key diagnostic considerations and offer their perspectives on possible surgical treatments.    The Charcot foot poses quite a challenge in even the most organized centers. The outcomes are often poor and can lead to osteomyelitis, amputation and permanent disability. The diagnostic delay averages 29 weeks.1 Even when appropriate diagnosis occurs early, there is no agreement on the best treatment approach. ... continue reading
    Kristine Hoffman, DPM, Jeffrey L. Jensen, DPM, FACFAS, and Eric D. Jaakola, DPM
    11,962 reads | 1 comments | 02/23/10
    Offloading plays a key role in the management of diabetic foot ulcerations. With this in mind, these authors review the literature and discuss a variety of modalities ranging from non-weightbearing options and therapeutic half-shoes to removable cast walkers and total contact casts. ... continue reading
    Desmond Bell, DPM
    42,290 reads | 0 comments | 02/23/10
    Diabetic heel ulcers are particularly challenging to treat as a wide range of factors can affect potential healing. With this in mind, this author discusses the challenges of wound bed preparation, key considerations with offloading and the possible impact of peripheral arterial disease.    Despite a better understanding and the advent of preventive measures that have been developed to address heel ulcers, the problems we encounter due to complications of diabetes make treating this specific patient population more challenging. ... continue reading