Volume 16 - Issue 9 - September 2003

Diabetes Watch »

Can Zinc Oxide Have An Impact On Wound Healing?

By Jonathan Moore, DPM | 50511 reads | 1 comments

As the complexity and price of wound care materials seems to be reaching mind-numbing proportions, choosing the right product for your patients seems to be getting harder instead of easier. However, taking into account cost, effectiveness and availability, one would be hard pressed to find a product better than zinc oxide.
Although it is most commonly associated with diaper rash ointments and Unna boot wraps, zinc oxide has remained relatively underused in podiatry offices and in wound care centers. Considering that more than 300 enzymes are dependent on zinc for activity such as matrix metal



Surgical Pearls »

Expert Insights On Peripheral Nerve Surgery For Tarsal Tunnel Syndrome

By Stephen L. Barrett, DPM | 15366 reads | 0 comments

Keck first described tarsal tunnel syndrome in the literature back in 1962 and it remains a controversial topic today.1 While tarsal tunnel syndrome is a prevalent and common condition, lower extremity peripheral nerve entrapments and other nerve pathology can be clinically difficult to appreciate and understand. Needless to say, making a decision to proceed with surgical intervention for this condition can also be difficult.
Experienced practitioners with a high degree of neurological understanding and appreciation for peripheral nerve pathology are more likely to focus on these p



Diagnostic Dilemmas »

Treating Severe Deformity In Young Patients With Rheumatoid Arthritis

By Babak Baravarian, DPM | 6650 reads | 0 comments

A very difficult patient for me to treat is a young patient who has rheumatoid arthritis with severe deformity of the foot and ankle. This is typically a patient whose age may range from the late 20s to late 50s and is active except for his or her foot pain. With this in mind, let’s consider the following case study.
A 27-year-old female presented with a 12-year history of rheumatoid arthritis and extreme pain and deformity of the forefoot. While both feet are painful, she says the left foot is more severe than the right. The patient says the pain is in the region of the lateral fourth and



New Products »

Guiding You To Better Compression Bandages

3134 reads | 0 comments

When working with compression bandages, it can be tricky to find just the right level of compression.
That’s where ProGuide comes in. The Smith & Nephew product, a multi-layer bandage system, can help you get to the exact level of compression you need when treating venous leg ulcers.
ProGuide utilizes the company’s Vari-Stretch™ Technology and is composed of three layers: a non-adherent wound contact layer, a super-absorbent padding layer and an outer compression layer, according to the company.
It is available in three sizes, allowing you to find bandages for different ankle size



Technology In Practice »

Can AmeriGel Reinvent Healing Expectations For Patients?

By Brian McCurdy, Associate Editor | 3691 reads | 0 comments

When looking for a wound dressing, you have no shortage of options. You also probably have no shortage of expectations and neither do your patients. You want to ensure shorter healing times, fewer healing complications, simple usage and eliminate soaking for your patients.
One may want to consider the AmeriGel Wound Dressing, a hydrogel dressing that is indicated for pressure ulcers, venous stasis ulcers, diabetic skin ulcers, first- and second-degree burns, postsurgical incisions, cuts and abrasions. The manufacturer AmerX Health Care says using the dressing reduces healing time between 20



Point-Counterpoint »

Is the Keller Bunionectomy Outdated?

By Mark Hofbauer, DPM, and Steven Kravitz, DPM | 30051 reads | 0 comments

Yes, Mark Hofbauer, DPM, cites the limited indications of the procedure. He says the first MPJ fusion is a better option for hallux abductovalgus patients as it provides enhanced stability and biomechanical effects.

For the past 10 to 15 years, there has been a great debate over whether the Keller bunionectomy has become an outdated procedure. Proponents on both sides have been able to make solid arguments. The Keller bunionectomy began to get a black eye years ago when surgeons stretched the indications for its use. This was due in part because it was an easy, quick procedure to perform. A