Volume 24 - Issue 2 - February 2011

Diabetes Watch »

Current Considerations In Performing Transmetatarsal Amputations

Adam R. Johnson, DPM, and Lee C. Rogers, DPM | 15384 reads | 0 comments

With the recognition of limb salvage as a key to decreasing mortality and increasing the quality of life in patients with chronic non-healing ulcerations, the transmetatarsal amputation (TMA) has become a common procedure.1-4 The current epidemic of diabetes mellitus affects 7.8 percent of the population in the United States. Moreover, an additional 57 million individuals have been diagnosed with “pre-diabetes.”5



News and Trends »

February 2011

4890 reads | 0 comments

Recognizing the rise of methicillin resistant Staphylococcus aureus (MRSA) and its role in infections acquired in the hospital and community, the Infectious Diseases Society of America (IDSA) has released its first guidelines on treating MRSA.



Feature »

How To Deal With The Unruly Patient

John Guiliana, DPM | 9569 reads | 0 comments

Whether there is a personal issue fueling the anger or lingering resentment over an insurance-related dilemma, this author offers pertinent insights on the roles of empathy, certain phrasing and body language in conflict resolution. He also discusses key steps to take when patient discharge is necessary.



Feature »

Treating Psoriasis In The Lower Extremity

Tracey C. Vlahovic, DPM | 15260 reads | 0 comments

In addition to reviewing the clinical presentation of psoriasis in the lower extremity, this author provides key insights on various topical medications ranging from corticosteroids and vitamin D analogs to retinoids and keratolytics. She also offers insights on systemic therapies that physicians may consider when the disability and disease severity warrant a more aggressive approach.



Feature »

Emerging Concepts In Fixation For Charcot Midfoot Reconstruction

Lawrence M. Fallat, DPM, FACFAS | 21378 reads | 0 comments

Given the challenges with reconstructive surgery for patients with Charcot neuroarthropathy, this author reviews the different fixation options and offers step-by-step pearls on the use of intramedullary screw fixation.



Feature »

Current Insights On Treating Second MPJ Dysfunction

Molly Judge, DPM, FACFAS | 20848 reads | 5 comments

If patients with second metatarsophalangeal joint (MPJ) dysfunction experience a delayed diagnosis or misdiagnosis, the condition can become progressively worse and lead to complications. Accordingly, this author discusses issues with second MPJ surgery, the emerging role of plantar plate repair and a suture and button technique that may prove to be beneficial.