Volume 16 - Issue 7 - July 2003

Point-Counterpoint »

Are Tissue Replacements Cost Effective?

25481 reads | 0 comments

Yes, these authors say tissue replacements can facilitate shorter healing times and reduce the risk of complications from chronic wounds.

By Jason R. Hanft, DPM, Andre Williams, DPM, Constantine Kyramarios, DPM, and Kerry Temar, DPM, MS

The goals in treating diabetic foot ulcers are to obtain wound closure as quickly as possible, lower the probability of amputation and decrease recurrent ulcerations. Timely healing is important because the longer a diabetic foot ulcer remains unhealed, the greater the risk for infection, hospitalization and progression of the ulcer to require lim



Feature »

Achieving Adjunctive Success With Wound Dressings

By Alan J. Cantor, DPM, CWS | 12456 reads | 0 comments

The wound care industry has produced and marketed a flurry of new options for clinicians in a very short period of time. Indeed, some experts wonder whether this has created confusion among clinicians, further widening the gap between academic clinicians and those who are in everyday community or office settings.1 As Professor Terence Ryan pointed out, “There is a difference between the ‘gold standards’ of the elite and the logistics of providing care in the environments of those with limited access to expertise.”2
A February 2002 survey of podiatrists in the Un



Feature »

A Guide To Closure Techniques For Open Wounds

By Thomas Zgonis, DPM, Gary Peter Jolly, DPM, and Peter Blume, DPM | 11489 reads | 0 comments

The soft tissue envelope of the foot resists severe mechanical stresses on a daily basis and protects the underlying structures from injury. However, an injury to the foot or a chronic ulcer can cause a defect in the soft tissues and presents a daunting challenge for the foot and ankle specialist. When the defect is on the sole of the foot, the injury may be disastrous.
Historically, soft tissue lesions have been treated conservatively via various techniques of offloading, local wound care, molded shoes, inserts and orthoses. While some wounds lend themselves well to non-operative treatment,



Continuing Education »

Managing Ulcers On The Charcot Foot

By Pamela M. Jensen, DPM, and John S. Steinberg, DPM | 22918 reads | 0 comments

Neuropathic osteoarthropathy, or Charcot arthropathy, is a condition associated with a loss of sensory nerve function and concurrent vascular dynamic changes. In the acute setting, Charcot can result in bone and joint deformation and fragmentation. If it is not treated early and aggressively, the collapse of involved joints will cause instability, deformity and subject bony prominences to ulceration and infection.
The incidence in the United States and internationally of those with diabetes who have Charcot arthropathy ranges from 7.5 to 13 percent. Internationally, 10 to 20 percent of tho



New Products »

Dress You Up

2330 reads | 0 comments

Looking for a new wound dressing that stands out from the crowd?
If you have been pleased with Smith and Nephew’s Allevyn wound dressings, you now have even more options with four new dressings.
Allevyn Thin has a two-layer construction and is useful for treating wounds with low to moderate exudate, according to the company. Allevyn Plus Adhesive features a 50 percent thicker core than Allevyn Adhesive and is based on trilaminate technology. Allevyn Plus Cavity features a unique polyurethane matrix design and the company says its two-sided low tack natural adhesive provides high absorbenc



Diabetes Watch »

Choosing Medications For Painful Diabetic Neuropathy

By Matt Rampetsreiter, DPM, and Raymond Abdo, DPM | 27082 reads | 1 comments

Diabetic peripheral neuropathy is very common sequelae of diabetes mellitus. Patients often complain of burning, tingling, numbness and even sharp stabbing pain. These symptoms can cause sleep disturbances as well as problems with daily activities. Many primary care physicians and podiatrists overlook these symptoms which, in most cases, have been going on for years.



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