Volume 17 - Issue 3 - March 2004

Point-Counterpoint »

Plantar Skin Flaps On Diabetic Ulcers: Are They Worth It?

7961 reads | 0 comments

Yes, the authors say skin flaps can be a viable option if conservative wound care fails. They emphasize that flaps can provide a unique match to the soft tissue properties of weightbearing areas and facilitate healing in wounds with exposed bone and tendon.

By Gary P. Jolly, DPM, and Thomas Zgonis, DPM

Historically, the treatment of chronic foot wounds has centered around aggressive debridement, pressure reduction and, lately, the application of wound healing accelerators such as various growth factors. More recently, the use of reconstructive procedures has been gaining support a



Continuing Education »

Key Insights On Diagnosing Heel Pain In Kids

By Russell G. Volpe, DPM | 24437 reads | 0 comments

The adult patient often seeks professional help with pain or discomfort in the foot. Pediatric consultations with a foot and ankle specialist are less often pain-related with concerns about gait or positional abnormalities more likely. When pain is the initiating complaint, it usually occurs in the child’s heel. However, the differential diagnosis of heel pain in the child can be challenging for practitioners.
It may be difficult to obtain an accurate history from a child and parents are only able to relate what the child has told them or what they have observed. This can make differenti



Editor's Perspective »

Pursuing Optimal Outcomes For Patients With Diabetes

By Jeff Hall, Editor in Chief | 1530 reads | 0 comments

The sheer numbers continue to astonish and surprise. During a lecture at the recent Annual Meeting of the American College of Foot and Ankle Surgeons, John Steinberg, DPM, noted 18.2 million people in the United States have diabetes and approximately half of them are undiagnosed. The associated complications with this disease are well known, but the latest statistics are particularly chilling.
Heart disease reportedly affects people with diabetes twice as often as those who do not have diabetes. Current statistics also reveal that two out of three people with diabetes will die from a heart



Feature »

Reassessing The Impact Of Diabetic Footwear

By Guy R. Pupp, DPM, and Peter M. Wilusz, DPM | 13329 reads | 0 comments

Many sources in the literature describe the presence of pedal deformity and recurrent ulcerations associated with diabetes mellitus.1-4 Establishing a multidisciplinary team of physicians is essential for avoiding complications among these patients with diabetes.5,6 Unfortunately, the pedorthotist/orthotist is a frequently underutilized member of this team. Indeed, certified CPeds can make the difference between success and failure of diabetic limb salvage and ulcer prevention.
Certainly, the importance and impact of diabetic footwear cannot be ignored as a key componen



Forum »

When Unswerving Faith Is The Ultimate Healer

By Larry Zimmerman, DPM | 1812 reads | 0 comments

Grover, a 61-year-old African-American male, peered down at me through what looked like magnifying glasses inside black frames. He either had his cataracts removed before intraocular lens implants were available or had seen a local ophthalmologist who made his money removing cataracts the old-fashioned way.
Although Grover built pumps down at the Gorman Rupp plant, his real passion in life was being one of the pastors at his church. A simple man without pretense or excuse, he often referred to his “Lord” in our conversation and how good he was to us.
Grover told me Dr. Truberry wanted t



Diabetes Watch »

Does A New Cellulose Dressing Have Potential In Chronic Wounds?

By Barbara J. Aung, DPM | 8221 reads | 0 comments

We have all heard about the concept of moist wound healing. We know that the right moisture balance is critical to the healing of chronic wounds because it promotes a healthy wound environment. We have modalities such as hydrogels and hydrocolloids, as well as normal saline and gauze. The latter is becoming antiquated but nonetheless continues to support the theory of moist wound healing principles.
The new modality to emerge in wound care is the XCell® Cellulose Wound Dressing (Xylos Corporation). This product reportedly provides both hydration and absorption to achieve the moist



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