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  • Executive Editor/VP-Special Projects:
    Jeff Hall
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  • Editorial Correspondence

  • Jeff Hall, Executive Editor/VP-Special Projects, Podiatry Today
  • HMP Communications, 83 General Warren Blvd
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  • March 2007 | Volume 20 - Issue 3
    By Anthony Weinert, DPM, Ali Elkhalil, DPM, and Ahmad Farah, DPM
    8,286 reads | 0 comments | 03/03/07
          Practitioners have described various osteotomies for the proximal hallux. However, the Akin closing wedge osteotomy is currently the most common procedure. Podiatric surgeons commonly employ the transverse plane closing wedge osteotomy for the correction of hallux abductus interphalangous deformity. One may also use this as an additional procedure for the correction of hallux abductovalgus deformity.       Akin noted that one should perform the closing base wedge osteotomy at the proximal one-third of the proximal hallux and orient it in the transverse p ... continue reading
    By Justin Franson, DPM, and Babak Baravarian, DPM
    73,411 reads | 0 comments | 03/03/07
          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 ... continue reading
    By Jarrett D. Cain, DPM, and Vickie R. Driver, DPM, MS
    14,311 reads | 0 comments | 03/03/07
          Patients with diabetes can be a quite an undertaking for any physician who manages them on a consistent basis. In the past, this has created reservations when it comes to managing these patients especially from a surgical standpoint. However, over the years, with greater understanding of the disease, improvements in surgical techniques and emerging research, the reservations have diminished and the role of surgical management is a viable option when it comes to successfully treating those with diabetic ulcerations, infections and other related complications that exist in t ... continue reading
    By Aaron Becker, Special Projects Editor
    16,783 reads | 0 comments | 03/03/07
          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 ... continue reading
    By Guy R. Pupp, DPM, FACFAS, and Mark A. Kachan, DPM; By Warren S. Joseph, DPM, FIDSA
    12,621 reads | 0 comments | 03/03/07
          Yes. By Guy R. Pupp, DPM, FACFAS, and Mark A. Kachan, DPM. Given the increasing incidence of methicillin-resistant Staphylococcus aureus, one should consider empiric coverage against MRSA in high-risk patients with infected ulcerations in the lower extremity.       The most common pathogens in nosocomial skin and skin structure infections in the United States and Canada in 2000 were Staph aureus. Researchers have stated that approximately 30 to 60 percent of all Staph aureus isolates are methicillin-resistant Staph aureus (MR ... continue reading
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    4,115 reads | 0 comments | 03/03/07
    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 ... continue reading
    By Rachel Grieder, DPM, Sean McMurray, DPM, and Matthew J. Claxton, DPM
    12,994 reads | 0 comments | 03/03/07
          The neuropathic foot presents unique challenges when treating and preventing chronic wounds. One of the most difficult challenges is offloading the neuropathic foot without compromising function or causing a transfer of pressure that leads to further ulceration. When performing a limb salvage procedure, the goal is to provide the patient with a stable, plantargrade foot while still allowing for ambulation.1       In choosing the appropriate procedure to offload the foot, it is important to consider minimal bone resection versus a partial pedal ... continue reading