Volume 20 - Issue 3 - March 2007

Feature »

How To Maximize Patient Outcomes With DME

By William N. McCann, DPM | 22272 reads | 0 comments

      The use of durable medical equipment (DME) has grown to become a part of almost every podiatric practice over the last half-century. In fact, podiatrists have led the field in this important area of patient treatment through our use of orthotic devices.

      With our extensive background and training in biomechanics, our understanding of diabetes and its complications in the lower extremities as well as a need to provide patients with immediate immobilization, it is no wonder that DME is one of the more important offerings that we can extend to those we



Continuing Education »

Assessing Debridement Options For Diabetic Wounds

By Eric H. Espensen, DPM | 24635 reads | 0 comments

      Diabetic wounds are a common occurrence in wound care centers and private practice. With the escalating rate of diabetes, more and more patients are developing wounds that require care. Wound care for diabetic wounds routinely includes debridement. The term debridement comes from the French desbrider, meaning “to unbridle,” and was probably first used as a medical term by surgeons working in war zones. The medical personnel and surgeons likely recognized that contaminated wounds had a better chance of healing if one surgically removed the damaged tissue to revea



Treatment Dilemmas »

Key Insights On Treating Hallux Limitus

By Justin Franson, DPM, and Babak Baravarian, DPM | 61951 reads | 0 comments

      Hallux limitus, by definition, is a decrease in sagittal plane dorsiflexion of the hallux at the first metatarsophalangeal joint (MPJ) when the foot is in a weightbearing or simulated weightbearing position. With this in mind, let us take a closer look at the treatment approaches to this condition.

      Normal range of dorsiflexion motion of the first MPJ should be 65 to 75 degrees in order to allow for a normal gait. Near the end of the propulsive phase of gait, the leg has a 45-degree position to the floor and the ankle is in about 20 degrees of plant



Technology In Practice »

New Bone Growth Stimulator Offers Treatment For Nonunion Fractures

By Aaron Becker, Special Projects Editor | 13567 reads | 0 comments

      Facilitating the healing of nonunion fractures can be challenging. In order to address this challenge, a number of practitioners have been turning to the DonJoy OL1000 Bone Growth Stimulator as it reportedly provides an easy to use, noninvasive treatment option.

      The bone growth stimulator is a lightweight, battery-powered device that can accommodate a large variety of fracture sites, according to DJO Inc., the manufacturer of the device. While the bone growth stimulator is specifically indicated for the treatment of established nonunion fractures s



New Products »

New Products

3479 reads | 0 comments

Picturing Wounds Accurately

     As wounds progress through different stages of healing, it is important to have an accurate method of tracking their progress.

     With the new PictZar® medical software program, one would take a digital photo and load that photo and a ruler into the computer, according to Medline Industries, the manufacturer of the software program. The company says the product then accurately calibrates to the ruler and measures the wound’s length, width, circumference and area.

     Medline says



News and Trends »

News and Trends

By Brian McCurdy, Senior Editor | 10035 reads | 0 comments

How Effective Is The PTB Test In Diagnosing Osteomyelitis?

     There has been some recent debate within the profession about the effectiveness of the probe-to-bone (PTB) test in diagnosing osteomyelitis. A new study in Diabetes Care has found that the PTB test has a relatively low positive predictive value when it is utilized for diabetic patients with foot wounds.

     The two-year study tracked 1,666 patients with diabetes who underwent regular foot exams and were instructed to come to the clinic if they developed signs of lower-extremity



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