Volume 19 - Issue 9 - September 2006

Forum »

When It Is Time To Set Life On Cruise Control

By John H. McCord, DPM | 2715 reads | 0 comments

     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.

     T



Editor's Perspective »

Seeing Through The Petty Politics And Recognizing Lasting Contributions

By Jeff Hall, Executive Editor | 1234 reads | 0 comments

     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 »

News and Trends

By Brian McCurdy, Senior Editor | 10146 reads | 0 comments

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 »

Current Concepts In Treating Acute Charcot's Arthropathy

By Lee C. Rogers, DPM, Nicholas J. Bevilacqua, DPM, and David G. Armstrong, DPM, PhD | 12104 reads | 0 comments

     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 »

Exploring The Potential Of Bioengineered Alternative Tissues

Clinical Editor: Lawrence Karlock, DPM | 12146 reads | 0 comments

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



Surgical Pearls »

Emphasizing The Minimally Invasive Benefits Of The KobyGard System

By Richard O. Lundeen, DPM | 10395 reads | 0 comments

   Foot and ankle surgeons have no shortage of choices when it comes to selecting instruments for surgical procedures. Our surgical team has found success in using the Koby line of instruments (OsteoMed) for the treatment of various conditions.

   For the last four years, surgeons have found success using Koby instruments for three procedures commonly performed in the foot and ankle. Koby instruments are designed to perform the partial plantar fasciotomy for heel spur syndrome, intermetatarsal ligament decompression of neuroma and release of the gastrocnemius



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