Volume 19 - Issue 7 - July 2006
I always seem to have a small following of patients who have fallen through the cracks of health insurance coverage. My practice policy is “No Financial Barriers to Care.” In other words, we take care of them and provide care according to their needs.
Dean was a perfect example of a patient falling through the cracks. He presented in my office seven years ago with a crushed foot. He was trying to move a bull into a corral and a beast that weighed around 800 pounds stepped on his left foot.
Dean was 63 years old and had stopped wor
News and Trends »
It is no secret that foot infections can lead to a range of complications up to and including lower extremity amputation. However, a recent study has demonstrated a dramatically higher risk of both amputation and hospitalization in diabetes patients who develop foot infections as opposed to those without infection. The authors say this is the first prospective study to report the incidence of foot infections in a defined population as well as the risk factors for infection.
The study, published in a recent issue of Diabetes Care, found that patient
Editor's Perspective »
The importance of resolving infections and facilitating quicker wound healing is commonly understood when it comes to managing lower extremity ulcerations in patients with diabetes. Indeed, a recent study in Diabetes Care emphasizes just how important those treatment goals are in the diabetic population.
According to the study, those who have a diabetic foot infection have over a 150 times greater risk of amputation and a 55.7 times increased risk of hospitalization than those without infection (see page 10, “News and Trends”).
Diabetes Watch »
The complications stemming from obesity have been well documented. In recent years, the popularity of the gastric bypass procedure has increased as a method of combating obesity. As the literature shows, gastric bypass has a positive effect on diabetes itself as well as diabetic neuropathy. However, the surgery is not without its risks and the entire health care team must be aware of both the benefits and downsides.
According to data from the 1999-2000 National Health and Nutrition Examination Survey, two-thirds of the United States population is overwe
Wound Care Q&A »
Treating partial- and full-thickness burns present unique challenges for podiatrists. Although one may need to refer burns to a burn center, there are measures DPMs can take to treat burns and help relieve the patient’s pain. Accordingly, these expert panelists discuss their preferred modalities for wounds, methods of management and their thoughts on the role of bioengineered tissues and oral antibiotics.
Q: What is your initial management of lower extremity burn wounds as far as partial-thickness (second degree) versus full-thickness (third degree)
Surgical Pearls »
There have been many surgical treatment modalities described in the podiatric and orthopedic literature for the correction of hallux limitus.1-5 Since the Regnauld procedure was introduced in 1968, surgeons have used it in the treatment of a pathologically long proximal phalanx and hallux limitus.6 However, since its development, this procedure has been characterized as a technically challenging procedure for the treatment of hallux limitus with or without moderate degenerative arthritis.7-10
In 1995, Kissel, et. al., and
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