Volume 24 - Issue 12 - December 2011

Online Case Study »

Closing A Chronic DFU At A TMA Site

Ronald Guberman, DPM, Lida Faroqi, DPM, and Joseph Spencer, DPM | 5445 reads | 1 comments

These authors discuss a combination of modalities they utilized to successfully close a chronic diabetic foot ulcer (DFU) at a transmetatarsal amputation (TMA) site in a 70-year-old patient.



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Scope Of Practice Update: Where Things Stand

Rachel L. MacAulay, Contributing Editor | 17238 reads | 3 comments

Even as the APMA continues its efforts to establish a uniform scope of practice for podiatrists, battles continue over how much of the lower extremity podiatrists are allowed to treat. This author speaks to various podiatrists about scope of practice developments in Texas, South Carolina, New York and across the country.



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Current Insights On Imaging Techniques For Diagnosing Infection

Daniel P. Evans, DPM, FACFAOM, FACPR, Adam Fleischer, DPM, MPH, FACFAS, and Melissa Skratsky, DPM | 9343 reads | 0 comments

Timely diagnosis of lower extremity infections is essential to providing effective treatment and preventing complications. Accordingly, these authors discuss the roles of various imaging modalities ranging from plain radiographs and nuclear imaging to computed tomography, magnetic resonance imaging and positron emission tomography.



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Why The Lapidus Bunionectomy Is The Best Procedure For Severe Bunions

Neal Blitz, DPM, FACFAS | 51824 reads | 2 comments

The potential for safe early weightbearing has made the Lapidus bunionectomy a viable choice for correction of severe hallux valgus. Accordingly, this author discusses eight key advantages of this procedure over other surgical options for this deformity.



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Point-Counterpoint: Can Toning Shoes Have A Legitimate Impact?

David Y.S. Yee, DPM, FACFAOM, and Eric Fuller, DPM | 12370 reads | 0 comments

Yes. Aside from the toning shoes’ benefits on muscle toning and core strengthening, David Y.S. Yee, DPM, FACFAOM, says one can also incorporate the shoes into treatment plans for numerous podiatric conditions.

No. Although Eric Fuller, DPM, acknowledges that toning shoes may have some positive impact for people with certain conditions, he cites biomechanical concerns and a lack of evidence that the shoes cause increased muscle activity and increased toning.



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A Guide To Preventative Offloading Of Diabetic Foot Ulcers

Jason R. Hanft, DPM, Daniel T. Hall IV, DPM, and Ashish Kapila, DPM | 17041 reads | 1 comments

Given the repetitive microtrauma experienced by patients with diabetic peripheral neuropathy, proper offloading is critical to the prevention of diabetic foot ulcers. Accordingly, these authors explore the potential of total contact casts, Charcot restraint orthotic walkers and other offloading devices, and discuss key factors that affect patient adherence.



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