Volume 16 - Issue 11 - November 2003

Technology In Practice »

How A New Ulcer Repair Graft Facilitates Healing

By Brian McCurdy, Associate Editor | 7637 reads | 0 comments

Ulcer management and repair is an important aspect of podiatric practice. When it comes to facilitating ulcer treatment, there are regenerative tissue matrices that one may use. Easy application is a must in such products and it’s also important to ensure even healing in the affected area. It’s also an advantage when the graft you select has a number of potential applications.
With this in mind, one may want to consider the GraftJacket scaffold (Wright Medical), a human dermal membrane that has won raves from podiatrists.

GraftJacket’s ease of use and single applicati



Wound Care Q&A »

Insights On Testing And Treatment Of Ischemic Wounds

Clinical Editor: Lawrence Karlock, DPM | 8679 reads | 0 comments

Ischemic wounds can be challenging for any physician. With this in mind, the panelists discuss key indicators to look for in the history and physical exam, the effectiveness of noninvasive vascular testing and parameters for performing an amputation after bypass surgery. They also explore the treatment possibilities of angioplasty/stenting and the long leg distal bypass. Without further delay, here is what they had to say.

Q: What is your workup/treatment plan when a new patient presents with an ischemic foot wound?
A:
Mark Beylin, DPM, says it starts by determining the patient’s



Diabetes Watch »

Has The Algorithm Been Lost In New Technology Buzz?

By Leon Brill, DPM, CWS | 6868 reads | 0 comments

The research of the ‘70s and ‘80s seems to have paid off in the array of high-tech bioactive wound care products and innovative dressings that have emerged on the market in recent years. We have seen new and improved hydrogels, alginates, growth factors, living skin equivalents and vacuum assisted closure, not to mention new classes of antibiotics to cover emergent drug resistant organisms and modifications of existing antibiotic classes to increase the spectrum of activity. Did I mention silver ion dressings and combination dressings?

We have been given an armamentarium unlike we hav



Diagnostic Dilemmas »

Diagnosing Different Types Of Heel Ulcers

Guest Clinical Editor: Tamara D. Fishman, DPM | 29648 reads | 0 comments

When a patient presents with an ulcer on the heel, one must perform an in-depth examination because distinctions among different types of ulcers can be subtle. Prompt, appropriate treatment is essential and it is also critical to assess predisposing risk factors and what can be done to help minimize these risks. With this in mind, let’s take a look at the following case study.
A 58-year-old Caucasian male had recently been hospitalized because he fell and broke his right hip. While he was in the hospital, the patient developed the condition on his right heel (as seen in the photo below). T



Surgical Pearls »

A Pertinent Guide To Basic Ankle Arthroscopy

By Jesse B. Burks, DPM | 19145 reads | 0 comments

Surgery in general seems to gravitate toward smaller and less invasive procedures. Obviously, the less tissue disruption that occurs during surgery, the less risk one has of postoperative complications such as scarring, infections, delayed healing, etc. Although this may not be true with every surgical advance, arthroscopy has revolutionized the treatment of joint disorders and allowed many of these common complications to be almost entirely eliminated.
Increasing indications for this technique include the treatment of subtalar, calcaneal cuboid and first metatarsal disorders. However, for t



Feature »

A Closer Look At Tarsal Tunnel Syndrome

By James Thomas, DPM | 25552 reads | 0 comments

Symptoms associated with compression of the posterior tibial nerve and its branches first appeared in the literature in the early ‘60s.1-3 Since these early reports over 40 years ago, tarsal tunnel syndrome has become one of the most written about and discussed foot and ankle pathologies. Yet, even with the vast amount of literature on the subject, tarsal tunnel syndrome often remains somewhat elusive in regard to diagnosis and treatment.
When inspecting the anatomy of the posterior tibial nerve, it is easy to appreciate why compression neuropathy may occur. Entrapment may occur



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