Volume 23 - Issue 9 - September 2010
Reportedly 64 percent of infections that occur in patients with RA occur in the foot and ankle. In order to minimize the risks of infection and other potential complications with podiatric surgery in this patient population, this author reviews the literature and offers insights on whether medications for RA should be withdrawn, continued or modified during the perioperative period.
Surgical Pearls »
As with other types of extremity surgery, podiatric surgery is very specialized and very diverse in the different types of procedures performed routinely by surgical specialists. Procedures can range from simple or complex osseous surgery to delicate peripheral nerve surgery — all of which require some type of hemostasis to be performed optimally.
Wound Care Q&A »
Lower extremity compression can be very effective for reducing edema. These expert panelists discuss the use of compression hose and how compression pumps can be an alternative for patients who cannot wear the hosiery. They also discuss appropriate consults to lymphedema and vascular therapists.
Do you prescribe compression hose for patients with edema?
Diabetes Watch »
In addition to optimal medical management, thorough preoperative preparation is the fundamental key to success in the surgical management of high-risk patients, such as those with diabetes. I have witnessed avoidable complications that have occurred due to a lack of attention in areas that may be mistakenly perceived as inconsequential.
During my fellowship, I learned several fundamental keys to success that minimize potential complications, increase patient satisfaction and foster the surgeon-patient relationship.
News and Trends »
Can DPMs Have An Impact On The Multidisciplinary Team For Patients With Diabetes?
By Brian McCurdy, Senior Editor
When treating at-risk patients with diabetes, a multidisciplinary team can be invaluable in averting complications such as lower extremity amputation. A recent study in the Journal of the American Podiatric Medical Association says early identification and referral to a podiatric limb preservation team can improve the survival rate of at-risk patients with diabetes.
Whether it is fielding patient questions about the emerging rocker bottom shoes or addressing irritation of the forefoot due to the cosmetic material of running shoes, being able to understand, evaluate and recommend athletic footwear is essential. Accordingly, this author reviews four key shoe components, discusses principles of effective motion control and offers insights on walking shoes, cross-trainers and rocker bottom shoes.
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