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  • Executive Editor/VP-Special Projects:
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    Brian McCurdy
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    Bonnie Shannon
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  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
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  • March 2004 | Volume 17 - Issue 3
    Clinical Editor: Lawrence Karlock, DPM
    10,915 reads | 0 comments | 09/03/08
    In a follow-up to the last Q&A column on preventing post-op wounds (see page 16, January issue), our expert panelists have reconvened to discuss the treatment of post-op wounds. They explore treatment approaches to a variety of wounds, ranging from the post-op dehiscence and infected wounds to exposed internal fixation and fracture blisters. Without further delay, here are their thoughts. Q: How do you typically manage the post-op wound dehiscence? What types of wound products do you suggest? A: Ronald G. Ray, DPM, PT, says you should first remove any loose suture material and debr... continue reading
    By Guy R. Pupp, DPM, and Peter M. Wilusz, DPM
    13,696 reads | 0 comments | 09/03/08
    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... continue reading
    Here one can see patient output from the Dynastream Amp 331. According to the authors, the device measures critical locomotion details including the distance traveled, speed, cadence and stride length.
    By Katherine Holtz-Neiderer, DPM, and David G. Armstrong, DPM, MSc
    5,773 reads | 0 comments | 09/03/08
    Repetitive stress is a major contributing factor to the rise of most foot problems. In the high-risk diabetic foot clinics at the Southern Arizona Veterans Affairs Medical Center, the most common of these severe complications is the diabetic foot wound. The prime etiology of diabetic foot ulcers is the combination of neuropathy and repetitive moderate stress (walking). Diabetic foot wounds often lead to a host of other maladies including sepsis, amputation and premature death. It has also been shown that people undergoing amputation have higher healthcare costs.1,2 When it comes... continue reading
    By Larry Zimmerman, DPM
    1,907 reads | 0 comments | 09/03/08
    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... continue reading
    Here is a view of the surgeon measuring the compartment pressures of the foot in a patient who sustained a bulldozer crush injury.
    By Zach J. Tankersley, DPM, Robert W. Mendicino, DPM, Alan R. Catanzariti, DPM, and Jordan P. Grossman, DPM
    96,031 reads | 0 comments | 09/03/08
    Crush injuries of the foot are serious and can be difficult to manage. These complex injuries often involve soft tissue and osseous structures. Potentially devastating complications and long term sequelae can occur if these injuries are underestimated or mismanaged.1 Compartment syndrome is a serious complication that can occur with these types of injuries. Due to the high morbidity associated with crush injuries, prompt and meticulous care is essential.2 Omer and Pomerantz reported 50 percent of their patients who sustained crush injuries of the foot had residual pain ... continue reading
    The XCell Cellulose Wound Dressing reportedly provides both hydration and absorption to achieve the moisture balance that wounds require for optimal healing.
    By Barbara J. Aung, DPM
    8,523 reads | 0 comments | 09/03/08
    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... continue reading
    By Robert Smith, Contributing Editor
    6,816 reads | 0 comments | 09/03/08
    The fantasy of retirement is one which many people occasionally turn to in order to get through the difficult stretches of a workday. The warm, sandy beaches of the mind are crowded with reclining metal chairs and the residue of tropical drinks that have no name, fishing poles bent in the direction of luckless mahi-mahi, and thousands of flip-flopped feet, attached to dozing, lotioned bodies. The reality of retirement, however, can knock the taste of salty air right out of your mouth. There are no true statistics that can tell how many of us are financially underprepared for our winter year... continue reading
    This nodule has a reddish, keratotic surface and projects out beyond the free edge of the distal border of the digit.
    By Marc A. Brenner, DPM, Stanley R. Kalish, DPM, and Tom Truong, DPM
    14,769 reads | 0 comments | 09/03/08
    Benign and bony outgrowths can be frequently misdiagnosed. With this mind, let us consider an unusual case involving a painful digital tumor that is gradually growing larger. Prior to presenting to our office, the patient had been evaluated by a couple of other physicians but the diagnosis had remained unclear. The 19-year-old patient was an obese, non-diabetic female who had a chief complaint of a slowly enlarging painful tumor on the second left digit. She noted the lesion started approximately four months ago but recalled no trauma to this area. The nodule, which had a reddish keratoti... continue reading

    8,249 reads | 0 comments | 09/03/08
    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... continue reading
    The AFG™ Ankle/Foot Gauntlet maintains circulation and raises the temperature of feet.

    3,258 reads | 0 comments | 09/03/08
    If your patient’s feet need a warm up and better circulation to relive pain, a new kind of footgear may be the remedy. The AFG™ Ankle/Foot Gauntlet can raise your patients’ skin surface and subcutaneous temperature by two to three degrees as part of heat therapy. Manufacturer Swede-O, Inc. says the gauntlet can relieve the pain associated with diabetes, arthritis and Raynaud’s disease. AFG’s Trioxon lining wicks moisture away from the skin and allows the skin to breathe. The company says the product is anatomically shaped and comes with a side stabilizer insert for a... continue reading