Volume 19 - Issue 7 - July 2006

Technology In Practice »

Can Stabilization Rods Provide A Viable Alternative In Hammertoe Correction?

By Anthony Leone, Special Projects Editor | 3888 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 | 2388 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 | 9370 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

Editor's Perspective »

Emphasizing The Need For Accelerated Wound Healing

By Jeff Hall, Executive Editor | 2128 reads | 0 comments

   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 »

Can A Gastric Bypass Procedure Have A Positive Impact On Diabetes?

By Chad Friedman, DPM, and Doug Pacaccio, DPM | 6065 reads | 0 comments

   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 »

Key Insights On Treating Burn Wounds In The Lower Extremity

Clinical Editor: Lawrence Karlock, DPM | 17281 reads | 0 comments

   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)