Volume 16 - Issue 7 - July 2003
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 »
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 »
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 »
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.
Treating chronic lower extremity ulcerations successfully depends on how well one understands the complex and dynamic interaction of multiple factors that contribute to the slow or non-healing nature of these ulcerations. Wound bed preparation, which is essential to managing difficult ulcerations, involves exudate reduction, appropriate debridement and the reduction of the wound’s bioburden. Indeed, removing the local barriers to healing will prepare the wound bed to support the activities necessary for wound healing.
The process of wound bed preparation begins with the initial evaluatio
Editor's Perspective »
The avalanche of bad news is unrelenting. The medical malpractice crisis seems to be getting worse. In addition to the 18 states already declared as “crisis” states by the American Medical Association, physicians in another 26 states are facing escalating insurance premiums as well, according to a recent article in The New England Journal Of Medicine. Combine that with dwindling reimbursement for services and even the most dedicated physician would be hard-pressed for an optimistic view.
However, in the midst of all this depressing news, there is a very intriguing study that reaf