Volume 24 - Issue 8 - August 2011

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Case Studies In Unusual Wounds

Ryan H. Fitzgerald, DPM, AACFAS | 16076 reads | 0 comments

Given the preponderance of wounds one sees in practice, podiatrists inevitably see wounds of an unusual shape or wounds that demonstrate a unique pattern of soft tissue trauma. Accordingly, this author discusses underlying factors with these abnormal presentations and offers a few challenging case studies involving unusual wounds.

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Pertinent Insights On Biologic Matrices For Soft Tissue Repair

Andrew Rice, DPM, FACFAS, and Erin Mathews, DPM | 11846 reads | 0 comments

Given the emergence of biologic matrices, these authors examine the biologic and biomechanical potential of these modalities in the lower extremity. They also offer a review of the current research on these therapies and provide a pertinent case study.

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Current Concepts In Wound Bed Preparation

Lee C. Rogers, DPM | 16763 reads | 0 comments

Proper preparation of the wound bed is essential to priming the wound for effective healing. Accordingly, this author discusses key principles from the literature and shares insights from his clinical experience in employing debridement and adjunctive modalities to help facilitate better wound healing and eventual wound closure.

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Keys To Effective Wound Dressing Selection

Nancy Slone Rivera, MS, ANP-C, CWON, CFCN, and Stephanie C. Wu, DPM, MSc | 24085 reads | 0 comments

Navigating the different stages of chronic wound healing can be quite challenging. Accordingly, these authors review the role of proper wound dressing selection and pros and cons of dressings ranging from gauze and hydrocolloid dressings to calcium alginate dressings and foams.

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Understanding The Osseous Contribution To Chronic Wounds

Thomas S. Roukis, DPM, PhD, FACFAS | 12810 reads | 0 comments

Structural deformities often contribute to the development of chronic wounds in the lower extremity but post-op offloading protocols with traditional surgical techniques can be difficult in high-risk populations. Accordingly, this author offers a closer look at soft tissue and osseous techniques that can address global forefoot deformities associated with chronic wounds, and allow early, guarded weightbearing.

Orthotics Q&A »

Ensuring Orthotic Efficacy For Adults And Children

Guest Clinical Editor: Joseph D'Amico, DPM | 11030 reads | 0 comments

In addition to sharing their perspectives on rearfoot posting, these expert panelists discuss their approaches to assessing the effectiveness of their orthotic prescriptions and when it is time to replace orthoses.


How do you determine the type and amount of rearfoot posting you prescribe?


Russell Volpe, DPM, prefers extrinsic rearfoot posting. He says it provides stability to the device along with the desired frontal plane correction. Dr. Volpe only switches to intrinsic rearfoot posting if there is a low volume in the counter of the intended shoe.