Volume 24 - Issue 9 - September 2011

Feature »

Bone Stimulation For Nonunions: What The Evidence Reveals

Jeffrey C. Wienke, DPM, and Paul Dayton, DPM, FACFAS | 19558 reads | 0 comments

Numerous methods of bone stimulation have emerged in recent years but how effective are they at facilitating healing? These authors take a critical look at the evidence on the efficacy of electrical stimulation, low-intensity pulsed ultrasound and extracorporeal shockwave therapy.

Surgical Pearls »

Is The Miami Phalangeal Osteotomy A Viable Alternative To The Akin Osteotomy?

Michael M. Cohen, DPM, FACFAS | 11532 reads | 0 comments

Imagine that you were running late on your way to the hospital to attend to an urgent patient. You have a choice of two routes. One route is longer because it uses two streets, each with a traffic light, and no place to make a U-turn and change direction if the traffic is heavy. The shorter route is a straight shot but has no traffic lights with options for U-turns if necessary.

Wound Care Q&A »

Pertinent Insights On Effective Debridement Tools

Clinical Editor: Kazu Suzuki, DPM, CWS | 10422 reads | 0 comments

When considering which methods of wound debridement will be effective in their patients, clinicians have a wide range of choices at their disposal. These expert panelists discuss their preferences for sharp debridement, ultrasound debridement, non-surgical debridement and the use of maggots.

Diabetes Watch »

Taking Charge Of The Non-Adherent Patient With Diabetes

Thomas Belken, DPM, and Neal Mozen, DPM, FACFAS, CWS | 6208 reads | 0 comments

Every physician, regardless of specialty, faces the non-adherent patient. When the patient has diabetes, things become even more complicated. Even though we as podiatrists are not actively managing the patient’s diabetes, his or her glycemic control directly impacts the effectiveness of our treatments.

News and Trends »

September 2011

3908 reads | 0 comments

Given that lower extremity amputation is a devastating consequence of diabetic foot infection, physicians must be vigilant for the signs that could presage amputation. In a new study in Diabetes Care, authors have developed a risk score of 11 factors that could predict amputation.

Feature »

Point-Counterpoint: Preventive Bracing For Ankle Sprains: Is it Legitimate?

Doug Richie, DPM, FACFAS, and Lisa M. Schoene, DPM, ATC, FACFAS | 11409 reads | 1 comments

Yes. Doug Richie Jr., DPM, FACFAS says evidence-based medicine is overwhelmingly in favor of preventive bracing and notes that the literature discounts perceived negative
effects on athletic performance.

No. Lisa M. Schoene, DPM, ATC, FACFAS argues that clinicians should consider other modalities and be wary of a hasty return to play with bracing as a lack of follow-through with appropriate rehabilitation may lead to compromised tissue repair and recurrent sprains.