Volume 19 - Issue 6 - May 2006

New Products »

Balancing Patient Needs

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For many patients, stability and cushioning are high on their list of footwear needs.

A new shoe may fulfill those needs. The 992 is for the overpronating patient, according to the manufacturer New Balance. The company says the N-Durance® feature provides the cushioning, stability and durability that patients need.
In addition, New Balance notes the Encap® provides additional support and cushioning through the polyurethane rim while the Abzorb® SBS absorbs shock at the heel and forefoot. The 992’s C-Cap® midsole is compression molded EVA,



Forum »

When A 'Foot Doctor' Teaches A Lesson In Humility

By John H. McCord, DPM | 5036 reads | 0 comments

I used to be humble about podiatry in the company of MDs and DOs. It seemed a necessary part of survival in the medical community. However, this humility has dissolved in recent years. When it comes to medical and surgical care of feet and ankles, we are the best at what we do. There is no need to kiss up to any non-podiatric physicians.
I recently attended a medical staff and hospital board leadership conference. I have just finished a two-year term as Chief of Surgery and will assume the job of Board Chairman for our hospital next year. The conference was attended by physicians and leaders



Editor's Perspective »

Facilitating Improved Compliance Among Patients With Diabetes

By Jeff Hall, Executive Editor | 2986 reads | 0 comments

You wouldn’t think it would take much persuading to convince patients with diabetes to regularly monitor their blood sugar or stay off of a recently treated foot wound given the potentially serious consequences of not doing so. Yet the statistics tell us a different story. In an intriguing, retrospective study published in the February 2005 edition of WOUNDS, researchers found that patient compliance was poor in 79 percent of patients with diabetes that eventually succumbed to amputation.
Experts say there are things clinicians can do to identify obstacles to compliance. It starts



News and Trends »

Can A Diabetic Foot Surgery Classification System Help Predict Complications?

By Brian McCurdy, Associate Editor | 7822 reads | 0 comments

Various classification systems categorize diabetic wounds and infections. One system, devised in 2003, categorizes different levels of non-vascular diabetic foot surgery. How effective is such a system? A recent study, the first to evaluate the system’s effectiveness, suggests including various risk factors in the system may better predict surgical complications.
The study, presented as an abstract at the American College of Foot and Ankle Surgeons Annual Scientific Meeting, evaluates the classification system’s four categories: elective, prophylactic, curative and emergency surgery. Res



Diabetes Watch »

Key Considerations For Utilizing Silver Dressings

By Chad Friedman, DPM, Elizabeth Bass, DPM, and John Steinberg, DPM | 10138 reads | 0 comments

Given the increasing prevalence of antimicrobial resistance, there is a growing interest in emerging wound care products that contain silver. Topical silver has a broad range of antimicrobial activity and has been used extensively to help treat high-risk burn patients. Research has confirmed that silver is effective against gram negative and positive bacteria, methicillin resistant Staph aureus (MRSA), yeast, filamentous fungi and viruses (including varicella zoster and herpes simplex types I and II).1-4
Interestingly, the use of silver for medicinal purposes has been docume



Surgical Pearls »

Plantar Calcaneal Spurs: Is Surgery Necessary?

By Don Green, DPM and Peter S. Kim, DPM | 89155 reads | 0 comments

The etiology of heel pain is quite varied. First described by Wood in 1812, the most common cause is thought to be plantar fasciitis. This is typically marked by focal tenderness to any component of the aponeurosis but most frequently at the proximal medial insertion of the plantar aponeurosis.1
Many symptomatic patients with plantar fasciitis demonstrate plantar heel spurs (traction enthesopathies) of the os calcis. One may best appreciate this shelf of exostosis on the lateral and lateral oblique views of standard radiographic studies.2 On rare occasions, fracture of



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