Volume 18 - Issue 1 - January 2005
News and Trends »
In the past, the majority of comparative studies of antibiotics for diabetic foot infections have been relegated to smaller, unblinded trials. However, a new randomized, multicenter study of over 500 patients found that the simpler dosing regimen of ertapenem (Invanz, Merck) had comparable results to piperacillin/tazobactam in treating these infections.
In what study co-author David G. Armstrong, DPM, MSc, PhD, calls “easily the largest ever randomized controlled trial of diabetic foot infections,” the double-blinded SIDESTEP Study of Diabetic Foot I
Wound Care Q&A »
Do growth factors improve the rate of wound healing? When is it appropriate to use them on chronic wounds? Is the cost of growth factor modalities worth the results? Our expert panelists answer these key questions, share their experiences and ponder the future of these modalities with their discussion about the efficacy of growth factors in chronic wound care. Without further delay, here is what they had to say …
Q: When, why and how do you utilize growth factors in the treatment of foot and ankle wounds?
A: Wound bed prepar
There are many instances when it is appropriate for the foot and ankle surgeon to use bone grafts in order to enhance a patient’s clinical outcome. When it comes to reconstructive osteotomies for angular realignment, arthrodeses and the repair of nonunions and cystic bone lesions, these are often best performed with procedures that take advantage of the many desirable features of bone grafts and, more recently, bone graft substitutes.
Before discussing the details of bone graft substitutes, it is helpful to review the bone graft options that are availa
Many doctors already dispense supplies and durable medical equipment (DME) from their offices for patient use. Others will simply write a prescription and send the patient to a DME provider. This is potentially a lost source of revenue for the practice. Having DME and supplies available in the office is also a great service to the patient.
Patients love it when they can get X-rays in the office as opposed to going to another facility, waiting for additional services, taking additional time off work, etc. The same applies to dispensing DME. Another benefi
In recent years, dance medicine has become increasingly separate from the traditional sports medicine culture. As dance injuries are being evaluated and studied from many different medical perspectives, it is becoming more apparent that there is a serious need for dance medicine specialists to educate not only the dancers but the dance company managers and teachers.
Awareness of injuries among dancers and their need for proper treatment and rehabilitation has become more accepted by the dance community. Prompt evaluation and treatment can facilitate long
Continuing Education »
One should not view an amputation as a failure but as an opportunity to give a patient a chance to improve his or her quality of life.1-3 If the amputation is a definitive procedure, it may allow the patient freedom from the continuing wound care that chronic ulcerations tend to require. While the amputation is often thought of as a simple procedure, one should only perform this procedure after careful consideration of factors that will lead to a successful long-term outcome for each patient.
Selecting an inappropriate level of amputation can d
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