Volume 18 - Issue 10 - October 2005
When it comes to the load-bearing joints of the lower limb, the foot is the least understood. This stems from the fact that its size is a major barrier to quality scientific investigation but is also partly due to the the misconception that its function is simple. While we may believe we know a great deal about the biomechanics of the foot and ankle, in reality, it is relatively uncharted territory compared to the knee and hip.
The foot is far from simple as it comprises hundreds of different ligaments and bony structures and scores of articulations. Its
Editor's Perspective »
As we were putting last month’s issue to bed, we received the stunningly sad news about the sudden passing of Gerard V. Yu, DPM, due to a heart attack. A leading educator and ambassador for the podiatry profession, Dr. Yu was an active member of our Editorial Advisory Board for the past three years. Dr. Yu was a dynamic presence whose generous spirit, good humor and compassion will leave a lasting legacy.
“Surgical successes and unraveling clinical complications have always been things that I attribute to having trained and worked with (Dr. Yu),”
One of the first patients I saw when I started practice many years ago was a diabetic patient who presented with medial ulcerations on both great toes. I aggressively treated the ulcerations and offloaded the toes. After the lesions had healed, I triumphantly told the patient she could go back to wearing her regular shoes.
Two weeks later, she returned to the office with the ulcers back in full bloom. As I should have done earlier, I had a discussion with the patient about shoes and found out she was wearing the same shoes she had worn for many years and
New Products »
Protecting Diabetic Feet
Patients with diabetes now have two new options when it comes to protective footwear.
The T1230 and T1220 are the latest additions to the Ambulator Stretcher footwear series manufactured by Aetrex Worldwide. The shoes provide comfort and protection for patients who are diabetic or arthritic, and the shoes can accommodate a variety of foot injuries or conditions, according to the company.
Aetrex says the shoes feature high toe boxes, seamless spandex uppers and a removable depth of a half inch. The c
I entered a room in the bowels of the hospital marked “administrative conference room.” It was 7 a.m. on a Friday. I usually have a cup of coffee and read a book at that hour. There was a coffee pot and some bagels but the reading material was patient charts stacked at one end of the table.
All physicians are invited to participate in chart review but it is a tedious and often unpleasant task generally known as peer review. Three of us showed up on this day. One was a young OB-GYN who has been with us for a year. One was a urologist who has been here
Diabetes Watch »
In spite of efforts to control diabetes and improve limb salvage rates, the number of diabetes-related amputations continues to rise in the United States. Over 80,000 amputations are performed each year, with approximately one-half being partial foot procedures and one-half being transtibial or higher amputations.1 By evaluating and identifying patients at risk for amputation, podiatrists may initiate simple, preventive interventions that can help lower these dismal statistics.
Patients with diabetes suffer from macrovascular and microvascular
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