Volume 16 - Issue 10 - October 2003
Orthotics Q&A »
When weighing the options for ankle foot orthoses (AFOs), you must consider many different factors in order to find the most appropriate device for the patient. Both hinged and non-hinged AFOs work well for patients with certain conditions but not so well for others. In addition, shoe modifications may be necessary in order to help ensure the success of the AFO. With these issues in mind, our expert panelists take a look at the ins and outs of prescribing hinged and non-hinged AFOs.
Q: What are the three or four most frequent diagnoses for which you prescribe a non-hinged AFO?
New Products »
If you already use negative pressure wound therapy, a new dressing can provide an effective complement to the modality.
The VAC® GranuFoam™ Heel Dressing is designed for heel wounds and its foam and dressings contour to fit the shape of the patient’s foot. The KCI product also features open pores that allow for even distribution of the VAC therapy across the wound bed. The company adds that the non-absorbent dressing aids in removing exudate.
In addition, the dressing has a TRAC™ Pad bridge on top of the foot, which allows the patient to change dressings more quickly, acc
Diabetes Watch »
Surgical debridement of infected bone is an unfortunate reality for those of us who frequently treat patients with diabetes. While adequate debridement is the most important step in treating osteomyelitis, many authors have commented on the adjunctive role of antibiotics in this clinical dilemma.1-3 Systemic antibiotics are routinely used preoperatively and have been advocated for six weeks or more. However, infected bone may become devascularized, making the delivery of systemic antibiotics less than desirable. Delivering systemic antibiotics may also be compromised when there is a
Practice Builders »
If you as a podiatric physician have not established yourself as the expert of the diabetic foot within your area, now is the time. There is no reason why you shouldn’t be the “go to” guy or gal in your community when it comes to treating, managing and preventing diabetes-related lower extremity complications.
Managing the diabetic foot is all about a team approach and establishing yourself as the quarterback will not only improve the quality of care for your patients but it can also greatly enhance your business.
The podiatric literature is replete with dozens of studies demonstrating
Technology In Practice »
The average person takes 8,000 to 10,000 steps a day, according to the American Podiatric Medical Association (APMA). Add in exercise, poor-fitting shoes and possible diabetes-related complications, and it is no wonder that 5 percent of the United States population have corns or calluses.
With this in mind, Xenna Corporation introduced the Callex ointment earlier this year. The acid-free ointment uses natural plant enzymes to exfoliate hyperkeratotic tissue. Those who have used the product cite ease of use, quick results and overall effectiveness wherever dry, thickened skin is a problem.
In-office product dispensing adds yet another role podiatrists must play for their patients—not only must you be a physician and healer, you now must be a retailer as well. While an increasing number of podiatric practices make products available for sale in treatment rooms, reception areas or even their own retail shops, some still decry the practice as exploitative, greedy or unethical. However, DPMs who dispense products in the office emphatically deny such judgments.
“We hear so much about why some podiatrists won’t dispense products,” says Hal Ornstein, DPM, a New Jersey-based pr
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