Volume 19 - Issue 11 - November 2006

Surgical Pearls »

Biofilms And Infection: What You Should Know

By Dave Nielson, DPM, FAPWCA and Guy Pupp, DPM, FACFAS | 9698 reads | 0 comments

     While the concept of infections has been studied for many years, our current understanding of infections is based upon studies and observations of planktonic bacteria. This is free floating bacteria that cause diseases such as pneumonia, sepsis, urinary tract infections, gas gangrene and many other examples. These types of infections often respond well to antibiotics and resolve without recurrence.

     However, there are several infections that occur out of the typical sequence of planktonic bacterial infections. These infections occur postoperatively aft



Wound Care Q&A »

Inside Insights On Treating Puncture Wounds

Clinical Editor: Lawrence Karlock, DPM | 24698 reads | 0 comments

     Treating puncture wounds in the lower extremity can be challenging, especially given the potential for retained foreign bodies. In the first part of a discussion, our expert panelists discuss appropriate workup and diagnostic studies for such wounds, offer their perspectives on imaging modalities, and impart a few helpful surgical pearls.

     Q: What are your general workup/diagnostic studies for a plantar foot puncture wound?

     A: Molly Judge, DPM emphasizes obtaining a thorough medical history as well as a very concise accou



Treatment Dilemmas »

How To Diagnose And Treat Osteochondral Lesions Of The Talus

By Babak Baravarian, DPM | 102909 reads | 0 comments

     The past several “Treatment Dilemmas” columns have dealt with the treatment of chronic ankle pain subsequent to an ankle sprain (see page 92, July issue and page 88, September issue). We have dealt with the actual ligament injury and its repair, treatment of peroneal tendon injuries and also conservative care of ankle injuries. We will now discuss the final common problem, which involves the treatment options for osteochondral lesions of the talus.

     An osteochondral lesion is an injury or small fracture of the cartilage surface of the talus. Ther



New Products »

New Products

4150 reads | 0 comments

Patients come in many sizes and may need different sizes of bunion relief.

      The new Comfort Gel Skin comes in four different models with various gel thicknesses and options for covers, according to the manufacturer Gel Smart. The sleeves available are the 5 mm Comfort Bunion Relief Pad and the 3 mm Dress Bunion Relief Pad.

      The company says the product combines flexibility with specialized textiles, which move with and conform to the gels. The gels add thickness while maintaining pliability and stretch for comfort, according



Editor's Perspective »

Reexamining The Fundamentals In Treating Plantar Fasciitis (Or Plantar Fasciosis)

By Jeff Hall, Executive Editor | 2451 reads | 0 comments

     When we put our editorial calendar together each year, one of the struggles is putting together an entire theme issue of fresh perspectives on heel pain. It is one of the most common conditions that DPMs see in practice and plantar fasciitis reportedly accounts for over 1 million patient visits a year in the United States. Given the prevalence of the condition, we continue to address this topic in depth every November. Hopefully, the collection of feature articles in our 7th Annual Heel Pain Theme issue will stimulate discussion and debate.

     In the cov



Forum »

When Good Help Is Hard To Find

By Lara Allman, DPM | 2631 reads | 0 comments

     I have been reading podiatry articles for pointers on how to run an office for the last eight years of private practice. I have adopted the advice of all the practice management gurus in our professional world. They write with ease and enjoyment on the how-to’s of conducting employee interviews, compiling employee manuals, creating job descriptions, how to train, how to treat staff and so on. I have absorbed this advice and feel they provide good tips for facilitating a good working environment.

     I condone open communication with my staff so we can



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