Volume 19 - Issue 7 - July 2006

Continuing Education »

A Guide To Transmetatarsal Amputations In Patients With Diabetes

By Christine Salonga, DPM, and Peter Blume, DPM | 75553 reads | 2 comments

   Lower extremity limb preservation among patients with diabetes continuously challenges the foot and ankle surgeon. With a significant population afflicted by this disease, podiatric physicians often perform amputations, a complication related to diabetes.1-4 The literature shows that pedal amputations occur in 60 percent of all nontraumatic lower extremity amputations with foot related disease as the most frequent cause for hospital admission.4,5

   Transmetatarsal amputations, a common partial foot amputation, succeed with long-term ef



Treatment Dilemmas »

A Guide To Treating Ankle Sprains From Start To Finish

By Babak Baravarian, DPM | 87342 reads | 0 comments

   An ankle sprain can be a debilitating and often difficult problem to overcome. In most cases, patients do not seek treatment immediately and/or the treatment offered is not up to par. I have spent a great deal of time at the local family practice and emergency room offices explaining how the treatment they offered their patients at the initial visits was not aggressive enough. Indeed, when initial treatment for ankle sprains is not aggressive enough, it may result in chronic instability and the need for surgery.

   Accordingly, let us take a closer look at t



New Products »

New Products

3241 reads | 0 comments

Treating Wounds From Every Angle

Patients can now use two tested wound care products in a spray emulsion form.

   Accuzyme and Panafil are perfect for elderly patients, particularly those who suffer from arthritis, according to Healthpoint, the manufacturer of both products. The spray emulsion format does not require direct contact from the patient or person applying the enzymatic debridement products. Healthpoint says the “no touch” application may reduce the chance of infection and help prevent disturbing the wound bed.

   Healthp



Technology In Practice »

Can Stabilization Rods Provide A Viable Alternative In Hammertoe Correction?

By Anthony Leone, Special Projects Editor | 3887 reads | 0 comments

   While many surgeons may opt for traditional arthroplasty, those who are looking for improved stability may want to consider the use of Interphlex Flexible Stabilization Rods.

   Comprised of 80-durometer medical grade silicone, the Interphlex rods help maintain toe length by stabilizing and preserving the joint space, according to the product’s manufacturer OsteoMed, Inc. The company notes the stiffness of the rods addresses toe migration while the spacer provides stability of the joint space.

   OsteoMed says the Interphlex rods are indi



Forum »

Ensuring Patient Care Does Not Fall Through The Cracks

By John H. McCord, DPM | 2384 reads | 0 comments

   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 »

Study: Infection Dramatically Raises Risk Of Amputation, Hospitalization

By Brian McCurdy, Senior Editor | 9364 reads | 0 comments

   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



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