Volume 23 - Issue 7 - July 2010

Point-Counterpoint »

Is Total Ankle Replacement More Effective Than Ankle Arthrodesis?

Lawrence A. DiDomenico, DPM, FACFAS, and Craig A. Camasta, DPM, FACFAS | 16393 reads | 0 comments

Yes.

With advances in the design of newer generation ankle implants, an improved understanding of the biomechanics involved with this procedure and a reduced risk of long-term complications, this author says total ankle replacement is increasingly becoming the procedure of choice for properly selected patients with end-stage arthritis.

By Lawrence A. DiDomenico, DPM, FACFAS



Feature »

Recognizing Amelanotic Melanoma In The Lower Extremity

Bryan C. Markinson, DPM, FASPD | 36889 reads | 2 comments

Due to the potentially dire consequences of amelanotic melanoma, early diagnosis is critical. Accordingly, this author reviews the challenges of the differential diagnosis, discusses a variety of insightful case studies and offers a protocol for facilitating more timely biopsies of suspicious lesions.



News and Trends »

July 2010

6575 reads | 0 comments

New Study Shows Efficacy Of Laser Therapy For Onychomycosis

By Brian McCurdy, Senior Editor

Given the common prevalence of onychomycosis, the emergence of new laser devices to help treat this disease has been an intriguing development. A recently published study suggests that laser therapy may have a role in the treatment armamentarium for onychomycosis.



Feature »

How To Manage The Charcot Midfoot Deformity

Thomas Zgonis, DPM, FACFAS | 14139 reads | 0 comments

Given the challenges of Charcot neuroarthropathy and the lack of guidelines for surgical treatment, this author offers a closer look at Charcot midfoot deformities as well as insights on addressing concomitant soft tissue infection and joint instability.



Feature »

Current Concepts With Bioengineered Alternative Tissues

Jason R. Hanft, DPM, FACFAS, and Maribel Henao, DPM | 11085 reads | 0 comments

Living and non-living skin equivalents can be valuable adjunctive treatments for chronic lower extremity wounds. Accordingly, these authors review the current literature, discuss the role of advanced therapies in facilitating wound closure and provide pertinent case studies.

The management of chronic non-healing ulcerations continues to be a challenge for healthcare practitioners today. Not only can ulcers eventually lead to serious complications such as infection and amputation, they also affect the quality of life and bring about a significant economic burden.



Feature »

Top Ten Innovations In Podiatric Care

Brian McCurdy, Senior Editor | 27009 reads | 2 comments

Technology continues to facilitate advances in podiatry that can make a significant difference for patients. Accordingly, this author talks to a variety of podiatric physicians about emerging options in surgery, wound care, orthotic treatment and other modalities.

In this annual look at emerging podiatric technologies and products, the author consults various podiatrists on the benefits of a wound debridement system, an ankle implant, surgical devices, an orthotic casting system, a new method of pathogen detection and more.