Volume 19 - Issue 3 - March 2006

Editor's Perspective »

Diabetes Research: Why It Needs To Be More Of A Budget Priority

By Jeff Hall, Executive Editor | 2928 reads | 0 comments

   I have long since given up looking for logic from the Bush administration. However, the recently proposed cuts in funding for diabetes research certainly fly in the face of very disturbing statistics about the prevalence and impact of this disease.

   According to a recent news article in Diabetes Today, the proposed budget numbers would slash $11 million from funding for the National Institute of Diabetes and Digestive and Kidney Disease, a research division of the National Institutes of Health (NIH), and $20 million from funding for chronic disea



News and Trends »

Can Exercise Expedite Wound Healing In Older Patients?

By Brian McCurdy, Associate Editor | 6395 reads | 0 comments

The benefits of exercise in preventing diabetes and improving general health are well established. Can exercise also facilitate improved wound healing among older adults? A recent study in the Journal of Gerontology: Medical Sciences found that wounds healed faster for patients who exercised compared to those who engaged in no activity.

The study involved 28 healthy adults with a mean age of 61. The patients were assigned either to an exercise or non-exercise group. Researchers created small wounds on patients and conducted wound measurement three times a week to calculate the heali



Letters »

Raising Questions About Ankle Arthrodiastasis

By Jerome K. Steck, DPM, FACFAS, and George Vito, DPM, FACFAS | 5513 reads | 0 comments

I read the recent article “A New Solution For The Arthritic Ankle?” (see page 36, December 2005) with interest. I applaud the authors for their work and agree that this is an option for patients with degenerative joint disease of the ankle.
George R. Vito, DPM, et. al., accurately point out that there are few surgeons who have total ankle implant training and regularly perform this procedure. I have had years of training with the inventor of the only FDA approved ankle implant, and have performed a tremendous number of these procedures successfuly.
Unfortunately, the authors’ review o



Diabetes Watch »

Understanding The Potential Impact Of Diabetes On Bone Biology And Biomechanics

By Glenn Weinraub, DPM | 11223 reads | 0 comments

It is well established that poorly controlled diabetes mellitus leads to vasculopathy, immunopathy and neuropathy, all of which may contribute to osteopathy. However, in order to understand the nuances of bone healing in the diabetic population, one must first have a strong grasp of the fundamentals of bone biology and biomechanics (see “A Helpful Primer On Bone Structure” below).
Bone is a dynamic medium with a multifactorial purpose including support of soft tissues, protection of soft tissues, locomotion and being a mineral reservoir. The growth, maintenance and healing of bone require



Wound Care Q&A »

Inside Insights On Emerging Wound Care Modalities

Clinical Editor: Lawrence Karlock, DPM | 7131 reads | 0 comments

Which emerging treatments show promise in treating lower-extremity wounds? Our expert panelists detail their usage of various wound care modalities, including topical antimicrobials and negative pressure wound therapy. They also take a look at what the future may bring for wound healing.

Q: What new modalities do you use in the treatment of lower extremity wounds?
A:
When foot ulcers are complicated by impaired microcirculation and secondary infection, Steven Kravitz, DPM, uses the Circulator Boot (Circulator Boot Corp.) to help treat patients for whom revascularizati



Surgical Pearls »

First Metatarsal Pathology: Can An Implant Provide A Long-Term Solution?

By Kerry Zang, DPM, Shahram Askari, DPM, A’Nedra Fuller, DPM, and Chris Seuferling, DPM | 39826 reads | 2 comments

Addressing the biomechanics of the first metatarsophalangeal joint (MPJ) as well as the first ray are the keys to any surgical correction of first metatarsal pathology. According to Rootian theory, the principal etiologies of hallux limitus are as follows.1
A long first metatarsal or when the position of the first metatarsal head is relative to the second. When the first metatarsal is long, there will be jamming of the metatarsophalangeal joint during the initiation of the propulsive phase of gait. This causes a reduction in the range of dorsiflexion of the hallux and in