Volume 24 - Issue 8 - August 2011
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.
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.
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 »
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.