Volume 27 - Issue 3 - March 2014

Feature »

Antibiotics And DFIs: What The Evidence Reveals

Anne Spichler, MD, PhD, and David G. Armstrong, DPM, MD, PhD | 4506 reads | 0 comments

Given the prevalence of foot infections in patients with diabetes, aggressive and judicious management with antibiotics is crucial. These authors discuss the recent Infectious Diseases Society of America guideline on diabetic foot infections, emphasize the importance of a team approach in managing inpatients with diabetic foot disorders and investigate the efficacy of promising new antibiotic agents.

Feature »

Point-Counterpoint: HBOT: Is It Worthwhile For DFUs?

Enoch T. Huang, MD, MPH&TM, FACEP, FUHMS, FACCWS, and Javier La Fontaine, DPM, MS, FACFAS, FASPS | 5033 reads | 0 comments

Yes. Enoch T. Huang, MD, MPH&TM, FACEP, FUHMS, FACCWS, offers a closer examination of recent controversies in the literature on hyperbaric oxygen therapy (HBOT) and cites an ample body of literature to justify that HBOT can be a valuable treatment to promote diabetic foot ulcer healing in appropriately selected patients.

No. Javier La Fontaine, DPM, MS, FACFAS, FASPS, points to conflicting results in the literature on HBOT and the fact that only a few randomized controlled trials involving humans have examined HBOT in relation to treatment for diabetic foot ulcers. He says there is also a need for more specific criteria in regard to HBOT for patients with diabetic foot ulcers

News and Trends »

March 2014

1862 reads | 0 comments

A new study in Foot and Ankle International finds that platelet rich plasma (PRP) is more effective over a longer time period for patients with plantar fasciitis in comparison with cortisone injections.

Diabetes Watch »

Essential Pearls On Treating Diabetic Ankle Fractures

Keith D. Cook, DPM, FACFAS, Carl Brandon Lindberg, DPM, and Joseph Genualdi, DPM | 2623 reads | 0 comments

Ankle fractures are very common injuries that foot and ankle surgeons see. An estimated 585,000 ankle fractures occur in the United States each year and 25 percent receive surgical intervention.1 Ankle fractures are the most common intraarticular fracture of a weightbearing surface and account for 9 percent of all fractures.1

Surgical Pearls »

Why We Should Consider Arthroscopic Treatment For The Chronically Diseased Sesamoid

John F. Grady, DPM, FASPS, FACFAOM, and Katy Trotter, DPM | 3044 reads | 0 comments

Although hallux valgus and hallux limitus comprise the majority of first ray pathology, sesamoid disorders are not uncommon and may even carry greater morbidity that demands attention. A generic diagnosis of sesamoiditis may encompass several etiologies including fracture, symptomatic nonunion, avascular necrosis, osteoarthritis, dislocation, infection and symptomatic bipartite sesamoids.1

Wound Care Q&A »

Key Pearls On Treating Pressure Ulcers

Clinical Editor: Kazu Suzuki, DPM, CWS | 3178 reads | 0 comments

These expert panelists discuss how to offload pressure ulcers in the heel and ankle, which patients are at high risk for pressure ulcers and whether one should debride dry heel eschar.