Editorial Staff

  • Executive Editor/VP-Special Projects:
    Jeff Hall
  • Senior Editor
    Brian McCurdy
  • Circulation and Subscriptions
    Bonnie Shannon
  • Art Director:
    Alana Balboni
  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
    Suite 100, Malvern PA 19355
  • Telephone: (800) 237-7285, ext. 214
    Fax: (610) 560-0501
  • Email: jhall@hmpcommunications.com
  • September 2006 | Volume 19 - Issue 9
    Note the venous stasis ulceration above. Its chronic nature may be due to protease imbalance and a fibrotic base.
    By Amy Jelinek, DPM, and Vickie Driver, DPM, FACFAS
    23,315 reads | 0 comments | 09/03/08
       Wound healing is a process that involves the stages of coagulation, inflammation, cell proliferation and repair of the matrix, epithelialization and remodeling of the scar tissue. These stages overlap and the entire process can last for months.1    During the post-injury coagulation phase, platelets initiate the wound healing process by releasing a number of soluble mediators including platelet-derived growth factor (PDGF), insulin-like growth factor-1 (IGF-1), epidermal growth factor (EGF), fibroblast growth factor (FGF), and transforming growt... continue reading
    By Jeff Hall, Executive Editor
    1,296 reads | 0 comments | 09/03/08
         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 ... continue reading
    Here is a view of AlloMatrix-C, a demineralized bone matrix hybrid composite.
    By Mark D. Dollard, DPM, FACFAS, and Glenn Weinraub, DPM, FACFAS
    19,441 reads | 0 comments | 09/03/08
       Surgeons have traditionally relied upon autografts, replacement bone from sources within the patient’s own body, as the gold standard for graft remodeling in bone fracture and primary osseous repair. While autograft bone is superior in its ability to provide osteogenic mesenchymal stem cells (MSCs), it has the inherent problem of limited supply and morbidity associated with harvesting from donor sites. Given these limitations, there has been a need for orthobiologic bone substitutes and these products continue to emerge and evolve as viable graft alternatives.  &nbs... continue reading
    Here one can see “distal subungual” onychomycosis, which has probably developed as the result of precursory onycholysis.
    By Bradley W. Bakotic, DPM, DO
    30,560 reads | 0 comments | 09/03/08
       As all those who specialize in the treatment of lower extremity ailments will acknowledge, there is nothing uncommon about nail unit pathology. Though pristine appearing nail units are commonplace in children, advancing age may bring a combination of acute and chronic trauma, neoplastic processes, non-infectious dermatological diseases, and bona-fide mycotic and non-mycotic infections that take their toll. These stressors manifest as alterations in nail color, shape and/or texture.    Too often in mainstream medicine, there is a tendency to attribute such c... continue reading
    Peter Wilusz, DPM, says his own independent study has found linezolid to be safe and it penetrates further into bone in comparison to vancomycin.
    By Brian McCurdy, Senior Editor
    10,363 reads | 0 comments | 09/03/08
    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... continue reading
    By John V. Guiliana, DPM, MS
    5,660 reads | 0 comments | 09/03/08
       Many podiatric physicians are suddenly realizing the importance of their practice as a retirement asset. The sale of a practice, its value and the associated terms of the sale can either substantially supplement a retirement nest egg or be the source of retirement delaying frustration. Understanding the process of a practice transaction or sale, and having a deliberate and proactive strategy to enhance the value of the practice are likely to reduce the stress and frustration in addition to providing some supplementary retirement funds.    There are a my ... continue reading
    Here is a preoperative weightbearing lateral radiograph that shows typical Charcot changes. Note the equinus deformity with midfoot plantar prominence and severe destruction of the tarsometatarsal joint.
    By Lee C. Rogers, DPM, Nicholas J. Bevilacqua, DPM, and David G. Armstrong, DPM, PhD
    12,359 reads | 0 comments | 09/03/08
         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... continue reading
    Here one can see a longitudinal fray tear in a patient who had chronic ankle instability.
    By Babak Baravarian, DPM
    135,120 reads | 0 comments | 09/03/08
       In a follow-up to the last column (see “A Guide To Treating Ankle Sprains From Start To Finish, pg. 92, June issue), I would like to discuss common secondary injuries that often occur in relation to ankle injuries, especially sprains. One of the most common and often misdiagnosed secondary complications of ankle sprains is a tear or injury to the peroneal tendon(s).    Since the tendons are in such close proximity to the lateral ankle and the lateral ankle is most often injured during a sprain, there is a tendency to perceive the two painful regions as on... continue reading
    This intraoperative photo shows a chronic wound after debridement. The surgeon has applied Integra. Paul Kim, DPM, says Integra works well in deeper wounds and decreases the overall wound depth. (Photo courtesy of Paul Kim, DPM, and John Steinberg, DPM)
    Clinical Editor: Lawrence Karlock, DPM
    12,339 reads | 0 comments | 09/03/08
    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... continue reading

    4,259 reads | 0 comments | 09/03/08
    Get Closure On Wounds A new primary wound closure product may offer your patients comfort and a good cosmetic appearance.      The Steri-Strip™ S Surgical Skin Closure can be helpful in managing low-tension lacerations and surgical incisions, according to the product’s manufacturer 3M. The company cites a recent study that demonstrated that closure of surgical wounds with the non-invasive device was two minutes shorter than with simple running sutures.      Steri-Strip is made of soft polyurethane pads and interlaced polyest... continue reading