Volume 25 - Issue 3 - March 2012

Feature »

How To Address Onychomycosis In Patients With Diabetes

Brett Waverly and Kathleen Satterfield, DPM, FACFAOM | 11869 reads | 1 comments

The complications of diabetes can desensitize patients to the effects of onychomycosis and complicate management of the condition. Given the increased prevalence of onychomycosis in this patient population, these authors discuss common pathogens and assess the available treatment options.

Feature »

Emerging Vascular Interventions In The Diabetic Foot

Kenneth R. Ziegler, MD, Peter A. Blume, DPM, FACFAS, and Bauer Sumpio, MD, PhD | 11218 reads | 0 comments

Ensuring adequate vascularity can be critical to facilitating the healing of diabetic foot ulcerations. Accordingly, these authors discuss current mainstay approaches in vascular surgery as well as emerging techniques that could make a difference in the future for limb salvage in patients with diabetes and chronic wounds.

News and Trends »

March 2012

4948 reads | 0 comments

The prevalence of diabetes has increased in recent years and is projected to keep rising. However, a recent study in Diabetes Care may offer a silver lining: Non-traumatic lower extremity amputation rates have fallen in patients with diabetes over the age of 40.

Diabetes Watch »

Issues And Answers In Diagnosing Diabetic Foot Osteomyelitis

Kelly Pirozzi, DPM, and Andrew J. Meyr, DPM | 8584 reads | 0 comments

Any podiatric medical student could tell you that the “gold standard” for the diagnosis of osteomyelitis is bone biopsy. This is obviously an important diagnosis to reach with a high degree of confidence. From a clinical standpoint, we utilize bone biopsy results: to decide on the course and duration of antibiotic therapy; to determine the need for subsequent wound debridement; as an indication for hyperbaric oxygen therapy; to assess the timing of wound closure; and to ascertain the level of lower extremity amputation.1-13

Surgical Pearls »

Reassessing Surgical Options For Recalcitrant Hallux Limitus In An Active Population

John F. Grady, DPM, FASPS | 16507 reads | 1 comments

Hallux limitus is generally responsive to conservative care consisting of anything from changing foot gear, changing activity and exercises to orthoses, injections, anti-inflammatory medication and physical therapy.1 When these things fail, surgery is necessary.

Wound Care Q&A »

Minimizing The Risk Of Perioperative Infection In Patients With Wounds

Clinical Editor: Kazu Suzuki, DPM, CWS | 8146 reads | 0 comments

Given the delicate nature of the wound environment, one must be vigilant in reducing the incidence of perioperative infection. Accordingly, these expert panelists discuss skin preparation before surgery, the use of prophylactic antibiotics, hand hygiene protocol and wound irrigation techniques.