Volume 19 - Issue 1 - January 2006
News and Trends »
Can Microcirculation Changes Predict Non-Healing Ulcers?
Researchers of a recent study say assessing microcirculation changes may help predict whether diabetic foot ulcers will heal. The authors of the study, which was published in a recent issue of The Lancet, utilized medical hyperspectral imaging to perform these assessments and add that the new technology may help identify patients with diabetes who are at higher risk for foot ulcers.
Researchers of the study examined 108 patients, including 51 patients with diabetic neuropathy, 36 with diabetes but no neuropathy and 21 control patients without diab
Diabetes Watch »
Reconciling Combination Therapy With EBM: Where Do We Go From Here?
One will not find combination therapies mentioned in evidence based medicine (EBM) journals or in research trials. In fact, one will rarely find combination therapies mentioned in many trade publications either. Purists often claim this concept presents a mixed message. How can one track performance and outcomes if he or she is using combination therapies? What component worked?
Detractors sometimes call the practice of using combination therapy “the shotgun approach.” They say it does not denote much finesse and represents excess. Proponents weigh i
Editor's Perspective »
Combination Therapy: Should We See It More In Podiatric Clinical Trials?
Given the ongoing emphasis toward incorporating more evidence-based medicine (EBM) in podiatry, there has been a noticeable increase of published clinical trials in the peer-reviewed podiatry literature. For example, in the November/December 2005 issue of the Journal of the American Podiatric Medical Association (JAPMA), six out of the eight original articles are clinical trials.
While these developments are certainly encouraging, there does seem to be a lack of published clinical trials involving combination therapy — the combination of one or
Surgical Pearls »
Taking A Novel Approach To Hammertoe Surgery
Hammertoes may have an etiology that is either congenital or acquired. Pain and cosmetic appearance are the leading factors for patients wanting surgical intervention for hammertoe deformities. While there are a variety of approaches for hammertoe correction, we have found success with a novel approach that emphasizes the use of medial and lateral incisions.
Typically, surgeons use dorsal linear, dorsal longitudinal semi-elliptical, dorsal transverse semi-elliptical, plantar longitudinal and medial/lateral incisions in hammertoe surgery.1 Howe
Wound Care Q&A »
Treating Lower Extremity Wounds In The Face Of Systemic Disease
Systemic diseases as varied as diabetes, renal failure and rheumatoid arthritis can affect the healing of lower extremity wounds. When it comes to treating chronic wounds, there is an array of testing one can employ to rule out systemic disease as a potential cause. There are also key warning signs that may indicate a possible malignancy. With these issues in mind, our multidisciplinary panel offered the following insights.
Q: What are the most common systemic diseases that manifest themselves as lower extremity wounds?
A: Dia
Treatment Dilemmas »
Key Insights For Diagnosing And Treating Tendinosis
Tendinosis is one of those diagnostic terms that took me a while to truly understand. People most often use this term in relation to the Achilles complex but tendinosis can be related to any tendon of the foot or ankle. In most cases, tendinosis is associated with the tendons about the ankle and the most commonly affected tendons are the Achilles, posterior tibial and peroneals.
While tendinosis is a very simple concept to explain, it is a far more difficult concept to truly understand and treat. Essentially, tendinosis involves the fraying or scarring of
- « Previous
- | Page 1 of 2 |
- Next »
_sm.jpg)
