Volume 19 - Issue 9 - September 2006
Technology In Practice »
Earning raves from podiatrists, the Total Control Orthosis (TCO) Active offers a variety of features, facilitates easy customization and one can utilize the device for a variety of podiatric indications.
According to Langer, the manufacturer of the device, podiatrists can use the TCO Active to help treat common conditions such as mild posterior tibial tendon dysfunction and chronic ankle instability as well as dropfoot and high ankle sprains.
Langer says the TCO Active is a hydrostatic, custom ankle foot orthosis (AFO) that faci
I am taking another short break from podiatry, the job I love. Being a small town DPM provides lots of perks but it can also drive a person nuts.
Last Thursday was the day from hell. It started with two difficult surgeries. One was a lady with hallux valgus who was in for her third operation. The first two attempts with me as the surgeon had failed miserably. I asked why she was going to trust me for a third attempt. She told me I knew her expectation better than anyone else. Performing that surgery was like walking the plank.
Editor's Perspective »
In all walks of life, we see and encounter people with varying levels of ambition. Some folks strive to reach overarching goals and wind up taking on way more than they can handle in the pursuit of a greater good. They lead by example, they are always thinking of how to improve things and wind up investing a significant amount of time toward achieving fundamental changes. These folks are also not afraid to ruffle a few feathers along the way.
You also see folks I like to call “political climbers.” They are also smart, driven people but tend to be
News and Trends »
Are Orthoses Effective Against Plantar Fasciitis In The Long Run?
Orthoses are an integral part of the podiatric armamentarium to treat plantar fasciitis. However, a recent study calls into question the long-term efficacy of using orthoses to treat the condition.
The study, which was published in a recent issue of the Archives of Internal Medicine, looked at 135 patients with plantar fasciitis, who were randomized to wear either a prefabricated orthosis made of firm foam, a customized orthosis made of semirigid plastic or a sham orth
Diabetes Watch »
Charcot’s arthropathy is a devastating complication of diabetes mellitus that frequently leads to permanent disability, ulceration and amputation. It is a rapidly progressive and severe form of arthritis. Researchers have equated the acute Charcot foot to a medical emergency since therapies are available that may alter its natural history.1 Unfortunately, the pathophysiology and development are poorly understood. This is frequently complicated by a delay in diagnosis until bony destruction is visible on plain radiographs. This delay often leads to worse outcome
Wound Care Q&A »
Bioengineered alternative tissues, or skin substitutes, can lead to success in patients with wounds that have not responded well to other modalities. Accordingly, our expert panelists offer a closer look at where these products fit into the wound healing armamentarium and share pertinent pearls from their clinical experience with these products.
Q: What skin substitutes do you utilize in treating lower extremity wounds?
A: Paul Kim, DPM, has had success using Apligraf® (Organogenesis) for more superficial chronic wounds. He cautions practitioners that it may take multipl
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